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[脾内动脉瘤继发脾自发性破裂]

[Spontaneous rupture of the spleen secondary to intrasplenic aneurysm].

作者信息

Peña Fernández E, de la Cruz Burgos R, Del Cerro González J V, Rebollo Polo M

机构信息

Servicio de Diagnóstico por Imagen, Fundación Hospital Alcorcón, Alcorcón, Madrid, España.

出版信息

Radiologia. 2007 Nov-Dec;49(6):424-6. doi: 10.1016/s0033-8338(07)73813-4.

Abstract

Spontaneous rupture of the spleen is an uncommon emergency that usually occurs in a spleen affected by hematologic, neoplastic, or infectious diseases or as a complication of acute or chronic pancreatitis. This condition requires early diagnosis and appropriate treatment. Intrasplenic aneurysms are rare and rupture of the spleen secondary to intrasplenic aneurysm is extremely rare. We present the imaging findings for a case of splenic rupture secondary to an intrasplenic aneurysm. The patient was treated by percutaneous embolization, with excellent results. We review the literature on this entity and its endovascular treatment.

摘要

脾自发性破裂是一种罕见的急症,通常发生在受血液系统疾病、肿瘤性疾病或感染性疾病影响的脾脏,或作为急性或慢性胰腺炎的并发症出现。这种情况需要早期诊断和恰当治疗。脾内动脉瘤罕见,继发于脾内动脉瘤的脾破裂极为罕见。我们展示了一例继发于脾内动脉瘤的脾破裂的影像学表现。该患者接受了经皮栓塞治疗,效果良好。我们回顾了关于这一病症及其血管内治疗的文献。

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