Lynch Jeremy, Montgomery Alison, Shelmerdine Susan, Taylor Jeremy
Department of General Surgery, St Mary's Hospital, Newport, Isle of Wight, UK.
BMJ Case Rep. 2013 Nov 5;2013:bcr2013201409. doi: 10.1136/bcr-2013-201409.
Although rare, the high mortality associated with visceral artery aneurysms highlights the importance of their prompt diagnosis and treatment. This report details the acute presentation, diagnosis and management of a 51-year-old man with a non-traumatic ruptured aneurysm of an aberrant left hepatic artery. This is just the second case of a rupture of this aberrant artery reported in the literature, and the only one to be treated using endovascular techniques. An up-to-date review of the investigation and surgical/endovascular management of visceral aneurysms in relation to this case is included.
尽管罕见，但内脏动脉瘤相关的高死亡率凸显了及时诊断和治疗的重要性。本报告详细介绍了一名51岁男性非创伤性左肝副动脉动脉瘤破裂的急性表现、诊断和治疗。这是文献中报道的该副动脉破裂的第二例病例，也是唯一一例采用血管内技术治疗的病例。本文还纳入了与该病例相关的内脏动脉瘤的最新检查及外科/血管内治疗综述。
