Patil Vivek V, Fischman Aaron M, Patel Rahul S, Kim Edward, Lookstein Robert A, Tabori Nora E, Nowakowski Francis S
Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place Box 1234, New York, NY 10029.
Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place Box 1234, New York, NY 10029.
Clin Imaging. 2015 Sep-Oct;39(5):928-30. doi: 10.1016/j.clinimag.2015.03.012. Epub 2015 Apr 7.
We present the case of a 67-year-old female with melena and hypotension who was found to have a bleeding splenic artery pseudoaneurysm subjacent to a large gastric ulcer on computed tomographic angiography. The lesion was angiographically occult on standard anteroposterior and oblique projections. The offending vessel was identified on intraprocedure cone-beam computed tomography (CT). This case illustrates the value of intraprocedure cone-beam CT as a problem-solving tool for the interventional radiologist.
我们报告了一例67岁女性患者，该患者有黑便和低血压症状，经计算机断层血管造影检查发现，在一个大胃溃疡下方存在脾动脉假性动脉瘤出血。在标准前后位和斜位投影血管造影中，该病变未显影。在术中锥形束计算机断层扫描（CT）上识别出了肇事血管。该病例说明了术中锥形束CT作为介入放射科医生解决问题工具的价值。
