Department of Radiology and Interventional Radiology, IRCCS San Martino University Hospital-IST-National Institute for Cancer Research, Largo Rosanna Benzi 10, 16132 Genova, Italy.
Catheter Cardiovasc Interv. 2013 May;81(6):1049-52. doi: 10.1002/ccd.24415. Epub 2012 May 2.
Aneurysm of the jejunal artery (JA) is very uncommon with few specific symptoms, but can be a lethal entity. When at risk to rupture, it must be treated expeditiously to avoid mortality. We report a case of a 76-year-old male patient that underwent contrast-enhanced multi-detector computed tomography (MDCT) which incidentally reveals a 12 mm saccular aneurysm of the third JA at the bifurcation of the first arcade. Patient underwent successful endovascular embolization using the isolation technique with the Amplatzer Vascular Plug 4. The patient's recovery was unremarkable and he was discharged on postoperative day 5. Follow-up MDCT reveals total exclusion of the saccular aneurysm of the third jejunal artery with patency of the distal branches.
空肠动脉（JA）动脉瘤非常罕见，症状不明显，但可能是致命的。当有破裂风险时，必须迅速治疗，以避免死亡。我们报告了 1 例 76 岁男性患者，其进行了增强型多探测器计算机断层扫描（MDCT），偶然发现第 1 个弓状动脉分支处的第 3 个 JA 有 12 毫米的囊状动脉瘤。患者成功地使用 Amplatzer 血管塞 4 进行了隔离技术的血管内栓塞治疗。患者的恢复情况良好，术后第 5 天出院。随访 MDCT 显示第 3 段空肠动脉的囊状动脉瘤完全被排除，远端分支通畅。
