Kueper Markus Alexander, Ludescher Burkhard, Koenigsrainer Ingmar, Kirschniak Andreas, Mueller Kasimir, Wiskirchen Jakub, Koenigsrainer Alfred
University Hospital for General, Visceral and Transplant Surgery, Tuebingen, Germany.
Vasc Endovascular Surg. 2007;41(6):568-71. doi: 10.1177/1538574407305461.
Aneurysms of the gastroduodenal artery are rare. Reported here is the case of a 60-year-old woman suffering from the covered rupturing of a twin aneurysm of the gastroduodenal artery. The patient presented herself in the surgical emergency unit with abdominal discomfort. Diagnostics showed free fluid in the abdominal cavity together with anemia of 9.9 g/dL. A computed tomography scan and an angiography revealed the covered rupturing of a twin aneurysm of the gastroduodenal artery, which was treated by endovascular coiling of the gastroduodenal and pancreaticoduodenal arteries. The patient's hemoglobin level remained stable after treatment, and she was released from the hospital after 18 days. Visceral artery aneurysms are rare. Although endovascular therapy is preferred in cases involving active bleeding, surgery remains the primary therapy in those cases in which bleeding becomes uncontrollable.
胃十二指肠动脉动脉瘤较为罕见。本文报告了一例60岁女性，患有胃十二指肠动脉双动脉瘤覆膜破裂。该患者因腹部不适前往外科急诊室就诊。诊断显示腹腔内有游离液体，同时伴有血红蛋白水平为9.9 g/dL的贫血。计算机断层扫描和血管造影显示胃十二指肠动脉双动脉瘤覆膜破裂，通过对胃十二指肠动脉和胰十二指肠动脉进行血管内栓塞治疗。治疗后患者血红蛋白水平保持稳定，18天后出院。内脏动脉瘤较为罕见。虽然在有活动性出血的情况下首选血管内治疗，但在出血无法控制的情况下，手术仍然是主要治疗方法。
