Lie M, Ertresvåg K, Skjennald A
Department of Surgery, Rjukan Hospital, Norway.
Acta Chir Scand. 1990 May;156(5):411-3.
A 71-year-old woman was admitted to a local hospital with abdominal pain and repeated haematemeses and melaena. Plain X-ray of the abdomen showed a cystic mass with a calcified wall behind the stomach. No bleeding point in the stomach or duodenum was found at gastroscopy. Over a period of 28 days she had five episodes of gastrointestinal haemorrhage with no drop in blood pressure. She was transferred to the regional hospital 26 days after admission. Angiography showed a splenic artery aneurysm 5 x 10 cm, which at operation was found to have ruptured into the pancreatic duct. The aneurysm, the tail of the pancreas and the spleen were removed, and she made an uneventful recovery.
一名71岁女性因腹痛、反复呕血和黑便入住当地医院。腹部平片显示胃后方有一个壁钙化的囊性肿块。胃镜检查未发现胃或十二指肠有出血点。在28天内，她发生了5次胃肠道出血，血压未下降。入院26天后，她被转至地区医院。血管造影显示一个5×10厘米的脾动脉瘤，手术中发现该动脉瘤已破裂进入胰管。切除了动脉瘤、胰尾和脾脏，她恢复顺利。
