治疗性血管造影在胃十二指肠动脉巨大出血假性动脉瘤中的应用。
Therapeutic angiography for giant bleeding gastro-duodenal artery pseudoaneurysm.
机构信息
Department of Surgery, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel.
出版信息
World J Gastroenterol. 2010 Apr 7;16(13):1670-2. doi: 10.3748/wjg.v16.i13.1670.
Abstract
We present the case of an 18-year-old female transferred to our center from an outside hospital due to persistent gastrointestinal bleeding. Two weeks prior to her transfer she underwent duodenal omentopexy for a perforated duodenal peptic ulcer. The patient underwent a computed tomography angiogram which identified the source of bleeding as a giant gastro-duodenal artery (GDA) pseudoaneurysm. The patient was taken to interventional radiology where successful microcoil embolization was performed. We present this rare case of a giant GDA pseudoaneurysm together with imaging and a review of the medical literature regarding prevalence, etiology and treatment options for visceral arterial aneurysms.
摘要
我们报告了一例 18 岁女性患者的病例，她因持续性胃肠道出血从外院转入我们中心。在转入我院前两周，她因十二指肠溃疡穿孔接受了十二指肠网膜固定术。患者进行了计算机断层血管造影术，确定出血源为巨大胃十二指肠动脉（GDA）假性动脉瘤。患者被送往介入放射科，成功进行了微线圈栓塞。我们报告了一例罕见的巨大 GDA 假性动脉瘤病例，并对内脏动脉动脉瘤的发病率、病因和治疗选择的相关医学文献进行了回顾。
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本文引用的文献
1
Spontaneous rupture of gastroduodenal artery pseudoaneurysm following vigorous cough.
Am J Gastroenterol. 2009 Feb;104(2):529-30. doi: 10.1038/ajg.2008.52. Epub 2009 Jan 13.
2
Surgical treatment of visceral artery aneurysms: A 25-year experience.
J Vasc Surg. 2008 Aug;48(2):334-42. doi: 10.1016/j.jvs.2008.03.043.
3
Endovascular treatment of gastroduodenal artery aneurysm.
Asian Cardiovasc Thorac Ann. 2008 Jan;16(1):68-72. doi: 10.1177/021849230801600118.
4
Combined percutaneous thrombin injection and endovascular treatment of gastroduodenal artery pseudoaneurysm (PAGD): case report.
Emerg Radiol. 2007 Apr;14(1):51-4. doi: 10.1007/s10140-007-0574-4. Epub 2007 Jan 31.
5
Is endovascular therapy the preferred treatment for all visceral artery aneurysms?
Ann Vasc Surg. 2005 Jul;19(4):507-15. doi: 10.1007/s10016-005-4725-3.
6
Surgical management of peripancreatic arterial aneurysms.
J Vasc Surg. 2004 Aug;40(2):247-53. doi: 10.1016/j.jvs.2004.03.045.
7
Tuberculous pseudoaneurysm of gastroduodenal artery.
Clin Imaging. 2003 Nov-Dec;27(6):408-10. doi: 10.1016/s0899-7071(03)00009-3.
8
Nonoperative management of visceral aneurysms and pseudoaneurysms.
Am J Surg. 1992 Sep;164(3):215-9. doi: 10.1016/s0002-9610(05)81073-6.
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