Jang Lee Chan, Park Sung Su
Department of Surgery, Chungbuk National University College of Medicine, Cheongju, Korea.
Vasc Specialist Int. 2016 Sep;32(3):129-132. doi: 10.5758/vsi.2016.32.3.129. Epub 2016 Sep 30.
This is a case report that suggests the possible association between multiple splanchnic arterial aneurysms and long-distance running. The clinical features of one patient admitted at Chungbuk National University Hospital for treatment of multiple splanchnic arterial aneurysms were reviewed. A 54-year-old man had a recurrent, intermittent and epigastric pain for 2 months. There was no abnormality in gastroscopy and colonoscopy. An abdominal computed tomography angiography documented calcified superior mesenteric artery (SMA) and splenic artery aneurysms. The patient had a history of recreational long-distance running for over 10 years. His average running time per week was more than 10 hours. There was no evidence of systemic arteritis, connective tissue disorder or infectious process that may have caused the aneurysms. He did not take any drugs. The SMA aneurysm was opened, and the aneurysmal segment of SMA was replaced with a vein graft. The splenic aneurysm was observed. The patient recovered without any sequelae.
这是一份病例报告，提示多发性内脏动脉瘤与长跑之间可能存在关联。回顾了一名在忠北国立大学医院因多发性内脏动脉瘤接受治疗的患者的临床特征。一名54岁男性出现反复、间歇性上腹部疼痛2个月。胃镜和结肠镜检查未发现异常。腹部计算机断层血管造影显示肠系膜上动脉（SMA）和脾动脉瘤钙化。该患者有超过10年的业余长跑史。他每周的平均跑步时间超过10小时。没有证据表明存在可能导致动脉瘤的系统性动脉炎、结缔组织疾病或感染性疾病。他未服用任何药物。打开了SMA动脉瘤，并用静脉移植物替换了SMA的动脉瘤段。观察到脾动脉瘤。患者康复，无任何后遗症。
