Russo Antonella, Francia Chiara, Zaottini Antonio, Pagliei Mario
O.U. Surgical Emergency, A.S.L. Roma G, Hospital Leopoldo Parodi Delfino Colleferro, Roma, Italia.
Ann Ital Chir. 2008 Sep-Oct;79(5):371-5.
Splenic artery aneurysm is a rare pathology, asymptomatic for a long time. It's in fact often revealed by its complications, such as the rupture and potentially fatal acute haemorrhage. It's incidentally discovered during instrumental exams, performed for other reasons, like the case of our woman, affected by ulcerating rectocolitis and suffering from renal colic pain, demonstrated. While surgical treatment is recommended for aneurysms larger than 2 cm in diameter or for symptomatic patients, or in pregnancy (condition known to lead to a rupture), or in case of growing dilatation, the size rarely exceeds 3 cm. The unsuspected echographic identification of giant splenic aneurysm (> 11 cm) is reported, eligible for elective surgery.
脾动脉瘤是一种罕见的病理情况,长期无症状。实际上,它常常因并发症而被发现,比如破裂以及可能致命的急性出血。它是在因其他原因进行的器械检查中偶然发现的,就像我们这位患有溃疡性直肠结肠炎并伴有肾绞痛的女性患者的情况所示。虽然对于直径大于2厘米的动脉瘤、有症状的患者、怀孕期(已知会导致破裂的情况)或动脉瘤不断扩大的情况建议进行手术治疗,但瘤体大小很少超过3厘米。本文报道了意外通过超声检查发现的巨大脾动脉瘤(>11厘米),适合进行择期手术。