Ruptured aneurysm of the ulnar artery in a woman with neurofibromatosis.
A 61-year-old woman with neurofibromatosis type 1 (Recklinghausen's disease) was referred for massive swelling of the right forearm, pain, increasing numbness, and impaired movement of the fingers. Angiography demonstrated a 13- x 11-mm aneurysm and a capped rupture of the ulnar artery. Because of the complicated soft-tissue condition, interventional treatment was indicated. Two 360 degrees coils were placed for embolization of the ruptured aneurysm. Arterial involvement in neurofibromatosis is a well known but infrequent occurrence. Stenotic lesions predominate. Aneurysmal defects are less common, and rupture of peripheral arteries is exceptional.
Scheuerlein
Hubert
H
Department of General, Visceral and Vascular Surgery, University Hospital of the Friedrich-Schiller-University, Jena, Germany. hubert.scheuerlein@med.uni-jena.de
Ispikoudis
Nikolaos
N
Neumann
Rotraud
R
Settmacher
Utz
U
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D004487:Edema / Q000209:etiology; D004621:Embolization, Therapeutic; D005260:Female; D005385:Fingers / Q000503:physiopathology; D006801:Humans; D006987:Hypesthesia / Q000209:etiology; D008875:Middle Aged; D009456:Neurofibromatosis 1 / Q000150:complications* / Q000503:physiopathology; D010146:Pain / Q000209:etiology; D011859:Radiography; D016896:Treatment Outcome; D017535:Ulnar Artery / Q000000981:diagnostic imaging