Shigematsu Kunihiro, Choudhury Niaz Ahmed, Kanetaka Takahito, Saito Taketo, Takazawa Yutaka, Miyata Tetsuro, Shigematsu Hiroshi
Division of Vascular Surgery, Department of Surgery, The University of Tokyo, Tokyo, Japan.
Ann Vasc Dis. 2008;1(1):52-5. doi: 10.3400/avd.AVDcr07012. Epub 2008 Feb 15.
A case of asymptomatic right gastroepiploic artery and vein aneurysms with an arteriovenous (AV) fistula coexisting with an abdominal aortic aneurysm (AAA) is presented. A 68-year-old man was referred for treatment of AAA (6 cm in diameter) and he was incidentally diagnosed as having right gastroepiploic artery and venous aneurysms (3 cm and 8 cm in diameter, respectively) with an AV fistula. Resection of the aneurysms and closure of the fistula were successfully completed with AAA repair. He had a history of gastrectomy, and these gastroepiploic aneurysms with an AV fistula were considered a late complication due to mass ligation of vessels during gastrectomy.
本文报告一例无症状的胃网膜动静脉瘤合并动静脉瘘与腹主动脉瘤(AAA)共存的病例。一名68岁男性因AAA(直径6cm)前来就诊,偶然被诊断为患有胃网膜动静脉瘤(直径分别为3cm和8cm)并伴有动静脉瘘。通过AAA修复术成功完成了动脉瘤切除和瘘口闭合。他有胃切除术史,这些伴有动静脉瘘的胃网膜动脉瘤被认为是胃切除术中血管大量结扎导致的晚期并发症。