PDF(Pubmed)
Abstract：
Ehlers-Danlos syndrome (EDS) type IV is a hereditary autosomal dominant disease associated with skin and vascular fragility, hyperextensibility and joint hypermobility. Spontaneous arterial rupture is one of its higher-risk features.The authors describe a case of a woman with EDS type IV who presented with a spontaneous breast haematoma associated with a pseudoaneurysm of a branch of the left internal mammary artery. The patient underwent a minimally invasive endovascular approach that was uneventful. However, 6 months later, she presented in the emergency room with a similar episode on the contralateral breast. There were no signs of active bleeding, and she stayed under surveillance. Nine months later, she was asymptomatic.Aneurysms of branches of the internal mammary artery are rare and prone to rupture. Early diagnosis and treatment are imperative, and this case demonstrates that an endovascular approach is a safe treatment option.
摘要：
Ehlers-Danlos综合征（EDS）IV型是一种遗传性常染色体显性疾病，与皮肤和血管脆性相关，过度伸展性和关节过度活动。自发性动脉破裂是其高风险特征之一。作者描述了一例IV型EDS女性，该女性患有自发性乳腺血肿，并伴有左乳内动脉分支的假性动脉瘤。患者接受了微创血管内入路，进展顺利。然而,6个月后,她在急诊室出现了对侧乳房的类似发作。没有活动性出血的迹象,她一直处于监视之下.九个月后,她没有症状。乳内动脉分支的动脉瘤很少见，容易破裂。早期诊断和治疗势在必行，该病例证明血管内途径是一种安全的治疗选择.
