Tekola Bezawit D, Arner David M, Behm Brian W
Division of Gastroenterology and Hepatology, Department of Medicine, University of Virginia, Charlottesville, Va., USA.
Case Rep Gastroenterol. 2013 Nov 19;7(3):487-91. doi: 10.1159/000357151. eCollection 2013.
A 48-year-old man with a history of splenic artery pseudoaneurysm requiring transarterial embolization 3 months earlier presented to the emergency department with abdominal pain and fever. Computed tomography showed evidence of embolization coil fragments within the gastrointestinal tract. Upper endoscopy showed a large gastric ulcer with numerous embolization coils extruding into the gastric lumen. The patient underwent partial gastrectomy, distal pancreatectomy and resection of the splenic artery pseudoaneurysm. This case illustrates a rare delayed complication of transarterial embolization of a splenic artery pseudoaneurysm.
一名48岁男性,3个月前因脾动脉假性动脉瘤接受经动脉栓塞治疗,现因腹痛和发热就诊于急诊科。计算机断层扫描显示胃肠道内有栓塞线圈碎片。上消化道内镜检查发现一个大的胃溃疡,有许多栓塞线圈突入胃腔。患者接受了胃部分切除术、远端胰腺切除术和脾动脉假性动脉瘤切除术。该病例说明了脾动脉假性动脉瘤经动脉栓塞罕见的延迟并发症。