脾动脉真性动脉瘤破裂：腹腔积血的罕见原因。

Ruptured true aneurysm of the splenic artery: an unusual cause of haemoperitoneum.

作者信息

Deshpande A A, Kulkarni V M, Rege S, Dalvi A N, Hardikar J V

机构信息

Departments of Gastroenterology Surgical Service and General Surgery, Seth G. S. Medical College and K. E. M. Hospital, Parel, Mumba-400 012, India.

出版信息

J Postgrad Med. 2000 Jul-Sep;46(3):191-2.

PMID:11298470

Abstract

True aneurysm of the splenic artery is rare. Two cases of ruptured true splenic artery aneurysms are presented. The first patient was a 62-year-old female who presented within 6 hours of the onset of symptoms. The other was a 27-year-old non-alcoholic male patient who was admitted in a state of shock after 2 days of observation in a peripheral hospital. Both patients had haemoperitoneum and were subjected to exploratory laparotomy. Aneurysmectomy was performed in both the patients in addition to left splenopancreatectomy in the first case and splenectomy in the second. However, due to the prolonged preoperative shock, the second patient succumbed on the third postoperative day.

摘要

脾动脉真性动脉瘤罕见。本文报告2例脾动脉真性动脉瘤破裂病例。首例患者为62岁女性，发病后6小时内就诊。另一例是27岁非酒精性男性患者，在外院观察2天后因休克入院。两名患者均有腹腔积血，并接受了剖腹探查术。首例患者除行左脾胰切除术外还进行了动脉瘤切除术，第二例患者则进行了脾切除术。然而，由于术前休克时间延长，第二例患者在术后第3天死亡。