Dorigo Walter, Pulli Raffaele, Innocenti Alessandro Alessi, Anichini Chiara, Azas Leonidas, Barbanti Enrico, Pratesi Giovanni, Gori Franca, Pratesi Carlo
Department of Vascular Surgery, University of Florence, Italy.
J Vasc Surg. 2004 Apr;39(4):903-5. doi: 10.1016/j.jvs.2003.11.034.
A 78-year-old woman was admitted to our department because of the incidental finding during routine abdominal ultrasound examination of a large aneurysm of the superior mesenteric artery. Presence of the aneurysm was confirmed at computed tomography and digital subtraction angiography, but its inflammatory origin was not recognized. No other aneurysm localization was found. Macroscopic intraoperative findings suggested the inflammatory nature of the lesion, but only histopathologic examination was diagnostic. Aneurismorraphy with prosthetic in-line reconstruction was performed. This report presents the previously undescribed possibility of an isolated inflammatory aneurysm of the superior mesenteric artery.
一名78岁女性因在常规腹部超声检查中意外发现肠系膜上动脉大型动脉瘤而入住我科。计算机断层扫描和数字减影血管造影证实了动脉瘤的存在，但未识别出其炎性起源。未发现其他动脉瘤定位。术中宏观检查结果提示病变具有炎性性质，但只有组织病理学检查具有诊断意义。进行了带假体的原位重建动脉瘤修补术。本报告介绍了肠系膜上动脉孤立性炎性动脉瘤这种此前未描述过的可能性。
