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凶险的脾动脉假性动脉瘤:一例病因不明的罕见病例。

Sinister Splenic Artery Pseudoaneursym: A Rare Case of Unidentified Aetiology.

作者信息

Srinivasan Pranav Honnavara, Vithon Gopi Ellikunnel, Dhati Krishna Narayanan Mandyam, Rajendran Vadukkoot Raman

机构信息

Senior Resident, Department of General Surgery, Government Medical College , Kozhikode, Kerala, India .

Professor, Department of General Surgery, Government Medical College , Kozhikode, Kerala, India .

出版信息

J Clin Diagn Res. 2016 Apr;10(4):PD01-3. doi: 10.7860/JCDR/2016/16833.7536. Epub 2016 Apr 1.

Abstract

Splenic Artery Pseudoaneurysms (SAP) are very rare. Giant SAPs are those which are more than 5 cm in diameter and are rarer. SAPs are usually caused by pancreatitis, trauma, surgery or other iatrogenic interventions, vasculitis, local infective or inflammatory processes. We report the successful surgical management of a giant SAP of unidentified aetiology. This case report highlights the significance that this entity may present atypically and hence, early recognition and aggressive management may be life saving.

摘要

脾动脉假性动脉瘤(SAP)非常罕见。巨大脾动脉假性动脉瘤是指直径超过5厘米的,更为罕见。脾动脉假性动脉瘤通常由胰腺炎、外伤、手术或其他医源性干预、血管炎、局部感染或炎症过程引起。我们报告了一例病因不明的巨大脾动脉假性动脉瘤的成功手术治疗。本病例报告强调了该实体可能表现不典型的重要性,因此,早期识别和积极治疗可能挽救生命。

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本文引用的文献

1
Idiopathic Splenic Artery Pseudoaneurysm Rupture as an Uncommon Cause of Hemorrhagic Shock.特发性脾动脉假性动脉瘤破裂作为出血性休克的罕见原因
J Investig Med High Impact Case Rep. 2015 Apr 13;3(2):2324709615577816. doi: 10.1177/2324709615577816. eCollection 2015 Apr-Jun.
2
Splenic artery pseudoaneurysm complicating pancreatitis.脾动脉假性动脉瘤并发胰腺炎。
J Gen Intern Med. 2011 Mar;26(3):343-4. doi: 10.1007/s11606-010-1538-z. Epub 2010 Oct 22.
4
Endovascular treatment of a traumatic visceral aneurysm.创伤性内脏动脉瘤的血管内治疗。
J Trauma. 2008 Oct;65(4):929-32. doi: 10.1097/01.ta.0000215372.65464.56.
5
Endovascular treatment of visceral artery aneurysms.
Vasc Endovascular Surg. 2007 Oct-Nov;41(5):373-82. doi: 10.1177/1538574407308552.

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