Mustafa BÜYÜKATEŞ, S. Akın TURAN, S. Aykut ALTUNKAYA

Psedoaneurysm of the brachial artery and median nerve compression after a stab wound

35 yaşında erkek hasta kesici alet yaralanmasından 50 gün sonra sol antekübital fossada pulsatil kitle, baş ve işaret parmaklarında fleksiyon kısıtlılığı ile başvurdu. Kardiyovasküler muayenede brakiyal, ulnar ve ra-diyal arterlerde nabız zayıflığı saptandı. Nörolojik muayene parmaklarda fleksiyon kısıtlılığına ek olarak ön kolda ekstansiyon kısıtlılığı içeriyordu. Operasyonda brakiyal arter psodoanevrizması tanısı doğrulandı ve kısa bir brakiyal arter segmenti psödoanevrizma ile birlikte çıkartıldı ve safen ven grefti ile onarıldı. Bu şartlar altında mediyan sinir değerlendirmesi be¬yin cerrahisi uzmanlarınca yapıldı. Bir ay sonra hasta tam olarak düzeldi ve normal iş yaşantısına döndü.

Kesici alet yaralanması sonrası brakial arter psödoanevrizması ve mediyan sinir kompresyonu

A 35-year-old male patient was seen with pulsatile swelling in the left antecubital fossa and a flexion defect in the thumb and adjacent finger 50 days after suffering a stab wound. A cardiovascular examination revealed weak pulsation in the brachial, radial and ulnar arteries. The neurologi¬cal findings included an extension defect of the forearm in addition to the flexion defect in the fingers. During surgery, a false aneurysm of the brachial artery was confirmed and a short segment of the brachial artery was excised with the aneurysm and replaced with a saphenous nurosurgery experts. One month later, the patient had fully recovered and had returned to his normal occupation.

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