PDF(Pubmed)
Abstract：
Neurofibromatosis type 1 (NF1) is a genetic disorder involving multiple organs. Vascular involvement is a rare complication among NF1 patients. We report a case of a 59-year-old female NF1 patient who presented with a massive hematoma over the scapular area after undergoing acupuncture treatment. Contrast-enhanced CT and MRI demonstrated a slightly hyperdense mass measuring 24.2 × 10.3 cm in size, and multiple enlarged and tortuous malformed vessels were seen arising from the left subclavian artery. Arterial embolization and subsequent surgical mass resection were successfully performed. This case indicates that minor injuries such as acupuncture-related ones could cause severe hemorrhage in patients with vascular malformation related to NF1. Endovascular angiography and embolization proved to be effective in localizing the culprit vessel and stopping active bleeding in our patient.
摘要：
1型神经纤维瘤病（NF1）是一种涉及多个器官的遗传性疾病。血管受累是NF1患者中罕见的并发症。我们报告了一例59岁的NF1女性患者，该患者在接受针灸治疗后在肩胛骨区域出现大量血肿。增强CT和MRI显示稍高密度肿块，大小为24.2×10.3cm，左锁骨下动脉出现多个扩大和弯曲的畸形血管。成功进行了动脉栓塞和随后的手术切除。此病例表明，与针灸相关的轻微损伤可能会导致与NF1相关的血管畸形患者严重出血。血管内血管造影和栓塞术被证明可有效定位罪犯血管并阻止患者的活动性出血。
