胃动脉动脉瘤破裂：显微镜下多血管炎的一种罕见表现。
Ruptured gastric artery aneurysm: an uncommon manifestation of microscopic polyangiitis.
作者信息
Ikura Yoshihiro, Kadota Tomohiro, Watanabe Shuhei, Arimoto Akira, Nishioka Eiko
机构信息
Yoshihiro Ikura, Department of Pathology, Takatsuki General Hospital, 1-3-13, Kosobecho, Takatsuki 569-1192, Japan.
出版信息
World J Gastroenterol. 2014 Sep 21;20(35):12668-72. doi: 10.3748/wjg.v20.i35.12668.
Abstract
Gastric artery aneurysm is a rare and lethal condition, and is caused by inflammatory or degenerative vasculopathies. We describe herein the clinical course of a patient with a ruptured gastric artery aneurysm associated with microscopic polyangiitis. Absence of vasculitic changes in the aneurysm resected and negative results of autoantibodies interfered with our diagnostic process. We should have adopted an interventional radiology and initiated steroid therapy promptly to rescue the patient.
摘要
胃动脉动脉瘤是一种罕见且致命的疾病，由炎症性或退行性血管病变引起。我们在此描述了一名患有与显微镜下多血管炎相关的破裂胃动脉动脉瘤患者的临床病程。切除的动脉瘤中无血管炎改变以及自身抗体检测结果阴性干扰了我们的诊断过程。我们本应采用介入放射学方法并及时启动类固醇治疗以挽救患者。
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