[脾动脉瘤。病例报告]

[Splenic artery aneurysm. Report of a case].

作者信息

Colsa-Gutiérrez Pablo, Kharazmi-Taghavi Mahgol, Sosa-Medina Rocío Daniela, Gutiérrez-Cabezas José Manuel, Ingelmo-Setién Alfredo

机构信息

Servicio de Cirugía General y Aparato Digestivo, Hospital Sierrallana, Torrelavega, Cantabria, España.

出版信息

Cir Cir. 2015 Mar-Apr;83(2):161-4. doi: 10.1016/j.circir.2015.04.014. Epub 2015 May 16.

DOI:10.1016/j.circir.2015.04.014

PMID:25986978

Abstract

BACKGROUND

The incidence of splenic artery aneurysm is not well known because they are often asymptomatic.

CLINICAL CASE

The case is presented of a 40 year-old woman diagnosed with a splenic artery aneurysm. She was clinically asymptomatic. A three-dimensional angiographic study was performed. The artery embolisation was rejected, according to the results of the study; thus it was decided to perform a laparoscopic splenic-aneurysmectomy.

CONCLUSIONS

Splenic artery aneurysms may present with non-specific symptoms, such as abdominal pain or anorexia. However 2-10% of aneurysms debut as spontaneous rupture. For this reason treatment is indicated in symptomatic aneurysms or those with rupture risk factors. In these cases there are different possibilities, such as therapeutic embolisation, endovascular stenting or surgery. Surgical approach varies depending on the location of the aneurysm in the splenic artery, enabling aneurysmectomy, splenic-aneurysmectomy, or aneurysm exclusion to be performed.

摘要

背景

脾动脉瘤的发病率尚不明确，因为它们通常没有症状。

临床病例

本文介绍了一名40岁女性被诊断为脾动脉瘤的病例。她临床上没有症状。进行了三维血管造影研究。根据研究结果，拒绝了动脉栓塞；因此决定进行腹腔镜脾动脉瘤切除术。

结论

脾动脉瘤可能表现为非特异性症状，如腹痛或厌食。然而，2% - 10%的动脉瘤首发为自发性破裂。因此，有症状的动脉瘤或有破裂危险因素的动脉瘤需要进行治疗。在这些情况下有不同的选择，如治疗性栓塞、血管内支架置入或手术。手术方法因动脉瘤在脾动脉中的位置而异，可进行动脉瘤切除术、脾动脉瘤切除术或动脉瘤排除术。