Osaka Shunji, Maeda Hideaki, Umezawa Hisaki, Goshima Masakazu, Hattori Tsutomu, Wakui Shinji, Nakamura Tetsuya, Negishi Nanao
Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2009 Dec;15(6):418-20.
A 58-year-old man was found by abdominal echography to have a pancreatic cyst while undergoing a health examination. Later, a multidetector CT and enhanced CT revealed a splenic artery aneurysm. After consultation he was admitted to our hospital for surgery. Multislice CT and magnetic resonance angiography demonstrated a saccular aneurysm, 22 mm in size, located in the proximal portion of the splenic artery. It was resected, and the splenic artery was reconstructed by an end-to-end anastomosis. The patient's postoperative course was favorable, and, after improvement, he was discharged on the 7th postoperative day. As Doppler ultrasound echography is being increasingly used during health examinations, these lesions are being detected with greater frequency. When splenic artery aneurysms rupture, mortality rates increase; we must therefore avoid simplistic observations. There are various treatment strategies available, and we must select which one is appropriate on a case-by-case basis.
一名58岁男性在健康检查时经腹部超声检查发现胰腺囊肿。后来，多层螺旋CT和增强CT显示脾动脉瘤。会诊后他被收治入我院接受手术。多层螺旋CT和磁共振血管造影显示一个大小为22毫米的囊状动脉瘤，位于脾动脉近端。对其进行了切除，并通过端端吻合重建脾动脉。患者术后恢复顺利，病情好转后于术后第7天出院。由于健康检查中越来越多地使用多普勒超声检查，这些病变的检出率越来越高。当脾动脉瘤破裂时，死亡率会增加；因此我们必须避免简单观察。有多种治疗策略可供选择，我们必须根据具体情况选择合适的策略。
