胃癌患者根治性胃切除术后胃十二指肠动脉假性动脉瘤
Pseudoaneurysm of gastroduodenal artery following radical gastrectomy for gastric carcinoma patients.
作者信息
Kim Dong Yi, Joo Jae Kyoon, Ryu Seong Yeob, Kim Young Jin, Kim Shin Kon, Jung Yong Yeon
机构信息
Division of Gatroenterologic Surgery, Department of Surgery, Chonnam National University Medical School, Gwangju, Korea.
出版信息
World J Gastroenterol. 2003 Dec;9(12):2878-9. doi: 10.3748/wjg.v9.i12.2878.
Abstract
We report a rare case of postoperative pseudoaneurysm of the gastroduodenal artery following radical gastrectomy. Surgical trauma to the gastroduodenal artery during regional lymphadenectomy was considered as the cause of the postoperative pseudoaneurysm. The pseudoaneurysm was successfully managed by ligating the bleeding vessel. We should consider the possibility of pseudoaneurysm formation in a patient with gastrointestinal bleeding in the postoperative period following radical gastrectomy with regional lymph node and perivascular lymphatic dissection.
摘要
我们报告一例根治性胃切除术后胃十二指肠动脉假性动脉瘤的罕见病例。区域淋巴结清扫术中胃十二指肠动脉的手术创伤被认为是术后假性动脉瘤的病因。通过结扎出血血管成功处理了假性动脉瘤。对于接受根治性胃切除并进行区域淋巴结及血管周围淋巴清扫术后出现胃肠道出血的患者，我们应考虑假性动脉瘤形成的可能性。
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