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本文引用的文献

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An autopsy case of intraabdominal hemorrhage in microscopic polyangiitis.显微镜下多血管炎致腹腔内出血尸检病例
Intern Med. 2011;50(14):1501-2. doi: 10.2169/internalmedicine.50.5549. Epub 2011 Jul 15.
2
A case of microscopic polyangiitis with giant coronary aneurysm.一例伴有巨大冠状动脉瘤的显微镜下多血管炎病例。
J Rheumatol. 2011 Mar;38(3):583-4. doi: 10.3899/jrheum.100924.
3
The minimally invasive management of visceral artery aneurysms and pseudoaneurysms.内脏动脉动脉瘤和假性动脉瘤的微创处理。
J Vasc Surg. 2011 Apr;53(4):966-70. doi: 10.1016/j.jvs.2010.10.071. Epub 2011 Jan 8.
4
Microscopic polyangiitis.显微镜下多血管炎。
Rheum Dis Clin North Am. 2010 Aug;36(3):545-58. doi: 10.1016/j.rdc.2010.04.003. Epub 2010 Jun 11.
5
Aneurysms of the renal arteries associated with segmental arterial mediolysis in a case of polyarteritis nodosa.结节性多动脉炎病例中与节段性动脉中层溶解相关的肾动脉动脉瘤。
Pathol Int. 2009 Mar;59(3):197-200. doi: 10.1111/j.1440-1827.2009.02351.x.
6
Ruptured arterial aneurysm of the kidney in a patient with microscopic polyangiitis.显微镜下多血管炎患者的肾动脉动脉瘤破裂。
Intern Med. 2008;47(6):521-6. doi: 10.2169/internalmedicine.47.0624. Epub 2008 Mar 17.
7
Successful embolization of the left gastric artery aneurysm obtained in preoperative diagnosis: a report of 2 cases.
Hepatogastroenterology. 2007 Sep;54(78):1895-7.
8
Segmental arterial mediolysis: unrecognized cases culled from cases of ruptured aneurysm of abdominal visceral arteries reported in the Japanese literature.节段性动脉中层溶解症：从日本文献报道的腹内脏器动脉破裂性动脉瘤病例中筛选出的未被识别的病例。
Pathol Res Pract. 2007;203(11):771-8. doi: 10.1016/j.prp.2007.07.010.
9
Microscopic polyangiitis: clinical and laboratory findings in eighty-five patients.显微镜下多血管炎：85例患者的临床及实验室检查结果
Arthritis Rheum. 1999 Mar;42(3):421-30. doi: 10.1002/1529-0131(199904)42:3<421::AID-ANR5>3.0.CO;2-6.
10
Spontaneous intraabdominal haemorrhage caused by segmental mediolytic arteritis in a patient with systemic lupus erythematosus--an underestimated entity of autoimmune origin?系统性红斑狼疮患者因节段性介质溶解性动脉炎导致的自发性腹腔内出血——一种被低估的自身免疫性病因？
Eur J Vasc Surg. 1994 Jan;8(1):96-100. doi: 10.1016/s0950-821x(05)80128-8.

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.

DOI:10.3748/wjg.v20.i35.12668
PMID:25253973
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4168106/
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。