Stewart B, Mannell A
Department of Surgery, Baragwanath Hospital, Johannesburg, South Africa.
Aust N Z J Surg. 1991 Feb;61(2):153-5. doi: 10.1111/j.1445-2197.1991.tb00194.x.
Aneurysms of the superior mesenteric artery (SMA) are rare, accounting for 8% of visceral artery aneurysms. Aneurysms at the site are very liable to rupture, irrespective of size, and may be difficult to manage even in the elective situation. The fact that 50-60% of SMA aneurysms are mycotic has important implications in the selection of the appropriate surgical procedure. In this paper we report a case of an SMA aneurysm diagnosed at the time of impending rupture and treated successfully. The aetiology, mode of presentation, diagnosis and management of SMA aneurysms are discussed.
肠系膜上动脉(SMA)动脉瘤较为罕见,占内脏动脉瘤的8%。该部位的动脉瘤极易破裂,无论大小如何,即使在择期情况下也可能难以处理。50%至60%的SMA动脉瘤为感染性这一事实,对选择合适的手术方式具有重要意义。本文报告了1例在即将破裂时确诊并成功治疗的SMA动脉瘤病例。文中还讨论了SMA动脉瘤的病因、表现方式、诊断及治疗。