Moskowitz Robert, Rundback John
Department of Surgery, St Joseph's Regional Medical Center, Paterson, NJ.
Department of Radiology, The Interventional Institute at Holy Name Medical Center, Teaneck, NJ.
Ann Vasc Surg. 2014 Oct;28(7):1797.e15-7. doi: 10.1016/j.avsg.2014.05.001. Epub 2014 May 21.
Rupture of a middle colic artery branch aneurysm is a rare presentation of visceral artery aneurysms. We report a case of a 53-year-old male complaining of acute-onset abdominal pain found to have a massive intraabdominal hematoma secondary to a leaking branch aneurysm of the middle colic artery. The patient underwent laparotomy and ligation of the aneurysm after an attempted endovascular intervention. Following the case report, a review of the literature entailing incidence, presentation, possible etiologies, and potential management strategies is presented.
结肠中动脉分支动脉瘤破裂是内脏动脉瘤的一种罕见表现。我们报告一例53岁男性，因突发腹痛就诊，经检查发现腹腔内有巨大血肿，继发于结肠中动脉分支动脉瘤破裂。该患者在尝试血管内介入治疗后接受了剖腹手术并结扎了动脉瘤。病例报告之后，本文还对文献中关于发病率、临床表现、可能病因及潜在治疗策略进行了综述。
