脾动脉动脉瘤破裂：钝性创伤后腹痛的罕见原因。
Ruptured aneurysm of the splenic artery: a rare cause of abdominal pain after blunt trauma.
作者信息
Khoshnevis Jalalludin, Lotfollahzadeh Saran, Sobhiyeh Mohammad Reza, Najd Sepas Hossein, Abbas Nejad Masomah, Rahbari Ali, Behnaz Nazanin, Mahdi Zeinab
机构信息
Department of Vascular Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Shohadaye Tajrish Hospital, Tehran, IR Iran.
Department of Pathology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
出版信息
Trauma Mon. 2013 Spring;18(1):46-9. doi: 10.5812/traumamon.8271. Epub 2013 May 26.
INTRODUCTION
Splenic artery aneurysms (SAAs) are rare (0.2-10.4%); however, they are the most common form of visceral artery aneurysms. Splenic artery aneurysms are important to identify, because up to 25% of the cases are complicated by rupture. Post- rupture mortality rate is 25% -70% based on the underlying cause. Herein we present a young patient with abdominal pain after blunt abdominal trauma due to rupture of an SAA.
CASE PRESENTATION
A 27-year-old male, without a remarkable medical history, who suffered from abdominal pain for 2 days after falling was admitted to the emergency department with hypovolemic shock. Upon performing emergency laparotomy a ruptured splenic artery aneurysm was found.
CONCLUSIONS
It is important to consider rupture of a splenic artery aneurysm in patients with abdominal pain and hypovolemic shock.
引言
脾动脉瘤（SAA）较为罕见（发生率为0.2%-10.4%）；然而，它们是内脏动脉瘤最常见的形式。识别脾动脉瘤很重要，因为高达25%的病例会并发破裂。破裂后的死亡率因潜在病因在25%-70%之间。在此，我们报告一名年轻患者，因钝性腹部创伤导致脾动脉瘤破裂后出现腹痛。
病例介绍
一名27岁男性，既往无显著病史，跌倒后腹痛2天，因低血容量性休克入住急诊科。行急诊剖腹探查时发现脾动脉瘤破裂。
结论
对于腹痛和低血容量性休克患者，考虑脾动脉瘤破裂很重要。
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