自发性脾动脉动脉瘤破裂：一例病例报告及文献综述
Ruptured spontaneous splenic artery aneurysm: A case report and review of the literature.
作者信息
Abdulrahman Aisha, Shabkah Alaa, Hassanain Mazen, Aljiffry Murad
机构信息
Department of Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2014;5(10):754-7. doi: 10.1016/j.ijscr.2014.08.021. Epub 2014 Sep 2.
INTRODUCTION
Splenic artery aneurysm is a rare condition, however, potentially fatal. The importance of splenic artery aneurysm lies in the risk for rupture and life threatening hemorrhage.
PRESENTATION OF CASE
This is a case of a ruptured splenic artery aneurysm in a 58-year-old lady. She presented with hypovolemic shock and intra-peritoneal bleeding. Diagnosis was confirmed by CT angiography and she was managed by operative ligation of the aneurysm with splenectomy and distal pancreatectomy.
DISCUSSION
The literature pointed the presence of some risk factors correlating to the development of splenic artery aneurysm. In this article we discuss a rare case of spontaneous (idiopathic) splenic artery aneurysm and review the literature of this challenging surgical condition.
CONCLUSION
Splenic artery aneurysm needs prompt diagnosis and management to achieve a favorable outcome, high index of suspicion is needed to make the diagnosis in the absence of known risk factors.
引言
脾动脉瘤是一种罕见疾病，但有潜在致命风险。脾动脉瘤的重要性在于其破裂风险及危及生命的出血。
病例介绍
这是一例58岁女性的脾动脉瘤破裂病例。她表现为低血容量性休克和腹腔内出血。CT血管造影确诊后，通过手术结扎动脉瘤并进行脾切除和胰体尾切除术进行治疗。
讨论
文献指出存在一些与脾动脉瘤发生相关的危险因素。在本文中，我们讨论一例罕见的自发性（特发性）脾动脉瘤病例，并回顾有关这种具有挑战性手术情况的文献。
结论
脾动脉瘤需要及时诊断和治疗以取得良好预后，在没有已知危险因素的情况下，需要高度怀疑才能做出诊断。
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