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脾动脉瘤和假性动脉瘤:临床鉴别与CT表现

Splenic artery aneurysms and pseudoaneurysms: clinical distinctions and CT appearances.

作者信息

Agrawal Gautam A, Johnson Pamela T, Fishman Elliot K

机构信息

Department of Radiology, Johns Hopkins School of Medicine, 601 N Caroline St., Rm. 3251, Baltimore, MD 21287, USA.

出版信息

AJR Am J Roentgenol. 2007 Apr;188(4):992-9. doi: 10.2214/AJR.06.0794.

Abstract

OBJECTIVE

Aneurysms of the splenic artery are being diagnosed with greater frequency as incidental findings on cross-sectional imaging. Splenic artery pseudoaneurysms are even more rare than true aneurysms. This article reviews the clinical features and management of splenic artery aneurysms and pseudoaneurysms. A variety of cases are presented to show the range of CT appearances.

CONCLUSION

Radiologists who identify either type of splenic artery lesion should recognize the clinical and pathophysiologic distinctions between these two forms of splenic vascular pathology and understand the differences in management.

摘要

目的

脾动脉瘤作为横断面成像中的偶然发现,其诊断频率越来越高。脾动脉假性动脉瘤比真性动脉瘤更为罕见。本文综述了脾动脉瘤和假性动脉瘤的临床特征及治疗方法。通过各种病例展示了CT表现的范围。

结论

识别任何一种脾动脉病变的放射科医生都应认识到这两种脾血管病变形式在临床和病理生理上的区别,并了解治疗上的差异。

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