PDF(Pubmed)
Abstract：
BACKGROUND: An infected popliteal pseudoaneurysm has never been described in the pediatric population. Physicians need to be aware of its presentation and management, in order to diagnose and treat this medical condition adequately.
METHODS: We describe the case of a 14-year-old boy who developed myositis and cellulitis centered at the popliteal fossa after playing basketball. A treatment of intravenous cefazolin was started. 5 days later, he experienced a knee pain flare-up, which turned out to be a popliteal pyomyositis with a pseudoaneurysm of the popliteal artery. A saphenous vein graft bypass of the popliteal artery and an excision of the popliteal pseudoaneurysm were performed. Intravenous cefazolin was continued for 6 weeks and prophylactic acetylsalicylic acid for 6 months.
CONCLUSIONS: This case highlighted the importance of repeating radiologic investigations if a patient suffering from soft tissue infection has persistent pain after several days of appropriate antibiotics. A popliteal pseudoaneurysm can be diagnosed with ultrasound imaging and treated with a popliteal-popliteal bypass. Our patient needed a catheter-guided dilation of the anastomosis at the vein graft 6 months post-surgery, and then evolved favorably and went back to playing basketball 6 months post-dilation.
METHODS: We describe the case of a 14-year-old boy who developed myositis and cellulitis centered at the popliteal fossa after playing basketball. A treatment of intravenous cefazolin was started. 5 days later, he experienced a knee pain flare-up, which turned out to be a popliteal pyomyositis with a pseudoaneurysm of the popliteal artery. A saphenous vein graft bypass of the popliteal artery and an excision of the popliteal pseudoaneurysm were performed. Intravenous cefazolin was continued for 6 weeks and prophylactic acetylsalicylic acid for 6 months.
CONCLUSIONS: This case highlighted the importance of repeating radiologic investigations if a patient suffering from soft tissue infection has persistent pain after several days of appropriate antibiotics. A popliteal pseudoaneurysm can be diagnosed with ultrasound imaging and treated with a popliteal-popliteal bypass. Our patient needed a catheter-guided dilation of the anastomosis at the vein graft 6 months post-surgery, and then evolved favorably and went back to playing basketball 6 months post-dilation.
摘要：
背景：在儿科人群中从未描述过感染的pop动脉假性动脉瘤。医生需要意识到它的呈现和管理，为了充分诊断和治疗这种疾病。
方法：我们描述了一个14岁男孩的案例，他在打篮球后出现了以po窝为中心的肌炎和蜂窝织炎。开始静脉内治疗头孢唑啉。5天后,他经历了膝盖疼痛发作，结果是一种伴pop动脉假性动脉瘤的pop化脓性肌炎。对pop动脉进行了隐静脉移植旁路，并切除了pop假性动脉瘤。连续静脉注射头孢唑林6周，预防性使用乙酰水杨酸6个月。
结论：该病例强调，如果软组织感染患者在使用适当的抗生素几天后出现持续性疼痛，则重复进行放射学检查的重要性。pop假性动脉瘤可以通过超声成像诊断，并通过pop-pop旁路治疗。我们的病人需要在手术后6个月的静脉移植物处进行导管引导的吻合术扩张,然后发展良好，并在扩张后6个月回到打篮球。
方法：我们描述了一个14岁男孩的案例，他在打篮球后出现了以po窝为中心的肌炎和蜂窝织炎。开始静脉内治疗头孢唑啉。5天后,他经历了膝盖疼痛发作，结果是一种伴pop动脉假性动脉瘤的pop化脓性肌炎。对pop动脉进行了隐静脉移植旁路，并切除了pop假性动脉瘤。连续静脉注射头孢唑林6周，预防性使用乙酰水杨酸6个月。
结论：该病例强调，如果软组织感染患者在使用适当的抗生素几天后出现持续性疼痛，则重复进行放射学检查的重要性。pop假性动脉瘤可以通过超声成像诊断，并通过pop-pop旁路治疗。我们的病人需要在手术后6个月的静脉移植物处进行导管引导的吻合术扩张,然后发展良好，并在扩张后6个月回到打篮球。
