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脾动脉动脉瘤胃内破裂——一例报告

Intragastric rupture of a splenic artery aneurysm - a case report.

作者信息

Ousadden Abdelmalek, Ibnmajdoub Karim H, Elbouhaddouti Hicham, Mazaz Khalid, Aittaleb Khalid

机构信息

Service de chirurgie générale - Hôpital des spécialités - CHU de Fès - Route de Sidi Harazem - Fès - 30070 - Morocco.

出版信息

Cases J. 2009 Nov 18;2:202. doi: 10.1186/1757-1626-2-202.

DOI:10.1186/1757-1626-2-202
PMID:20062707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2803867/
Abstract

INTRODUCTION

Hematemesis caused by intragastric rupture of a splenic artery aneurysm, is an exceptional and potentially lethal emergency.

CASE PRESENTATION

A 36 years old woman, mother of seven children presented with hematemesis. The gastric endoscopy revealed a bleeding polypoid lesion leading to a surgical management. The operative discovery of a complicated splenic artery aneurysm, led to its resection with splenectomy and gastric suture.

CONCLUSION

Intragastric rupture of a splenic artery aneurysm is an exceptional emergency which urgent diagnosis and management can avoid a potential lethal evolution.

摘要

引言

脾动脉动脉瘤胃内破裂引起的呕血是一种罕见且可能致命的急症。

病例报告

一名36岁、育有七个孩子的女性出现呕血症状。胃镜检查发现一个出血性息肉样病变,遂进行手术治疗。术中发现一个复杂的脾动脉动脉瘤,于是将其连同脾脏一并切除,并对胃进行缝合。

结论

脾动脉动脉瘤胃内破裂是一种罕见的急症,及时诊断和处理可避免潜在的致命进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/87dd750e68b7/1757-1626-2-202-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/f3933b35e693/1757-1626-2-202-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/8a10e93d297b/1757-1626-2-202-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/87dd750e68b7/1757-1626-2-202-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/f3933b35e693/1757-1626-2-202-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/8a10e93d297b/1757-1626-2-202-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7fd/2803867/87dd750e68b7/1757-1626-2-202-3.jpg

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本文引用的文献

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Percutaneous endovascular management of a splenic artery aneurysm.脾动脉瘤的经皮血管内治疗
Acta Chir Belg. 2008 Nov-Dec;108(6):753-5. doi: 10.1080/00015458.2008.11680331.
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Successful surgical treatment for aneurysm of splenic artery with anomalous origin.脾动脉起源异常性动脉瘤的成功手术治疗。
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Laparoscopic resection of splenic artery aneurysms.腹腔镜下脾动脉瘤切除术。
自发性脾动脉动脉瘤破裂:一例病例报告及文献综述
Int J Surg Case Rep. 2014;5(10):754-7. doi: 10.1016/j.ijscr.2014.08.021. Epub 2014 Sep 2.
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Catastrophic rectal bleeding from a ruptured splenic artery aneurysm.脾动脉动脉瘤破裂导致的灾难性直肠出血。
ANZ J Surg. 2003 May;73(5):361-4. doi: 10.1046/j.1445-2197.2003.02609.x.
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Visceral artery aneurysms: a single center experience.内脏动脉瘤:单中心经验
Cardiovasc Surg. 2003 Feb;11(1):19-25. doi: 10.1016/s0967-2109(02)00121-7.
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Visceral artery aneurysm.内脏动脉瘤
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Splenic artery aneurysm in the 1990s.
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