Yang-de MIAO, Department of Gastroenterology, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China.
Bei YE, Department of Gastroenterology, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China.
Pak J Med Sci. 2013 Apr;29(2):656-9.
Rupture of splenic artery aneurysm remains an uncommon cause of hypovolemic shock although it is the third most common intra-abdominal aneurysms. It is difficult to diagnosis timely and entails a significant morbidity and mortality. We present three uncommon cases of bleeding from upper gastrointestinal tract as a result of rupture of splenic artery aneurysm to stomach in patients with liver cirrhosis or infectious endocarditis. We also reviewed the literature and these case reports highlighted that rapid resuscitation, diagnostic imaging, surgical consultation, and alternatively transarterial embolization were the priorities in the management. Early diagnosis and intervention for ruptured splenic artery aneurysm are crucial for patient's survival; therefore, it must be kept in mind as feasible etiology of life-threatening gastrointestinal bleeding, especially in patients with underlying liver cirrhosis or infective endocarditis.
脾动脉瘤破裂虽然是引起低血容量性休克的第三大常见腹腔内动脉瘤，但仍是一种罕见的原因。它很难及时诊断，导致发病率和死亡率显著增加。我们报告了 3 例因肝硬化或感染性心内膜炎导致胃脾动脉瘤破裂出血至上消化道的罕见病例。我们还回顾了文献，这些病例报告强调了快速复苏、诊断成像、外科咨询和选择性经动脉栓塞是治疗的重点。脾动脉瘤破裂的早期诊断和干预对患者的生存至关重要；因此，对于危及生命的胃肠道出血，特别是在有基础肝硬化或感染性心内膜炎的患者，应将其视为可能的病因。
