袖状胃切除术后胃结肠瘘后脾动脉假性动脉瘤导致延迟性胃肠道出血
Splenic artery pseudoaneurysm causing delayed gastrointestinal bleeding after gastrocolonic fistula following sleeve gastrectomy.
作者信息
Ball J F, Sreedharan L, Reddy S, Tan Bhl, Sujendran V
机构信息
Hospital Universitario de la Princesa , Madrid , Spain.
出版信息
Ann R Coll Surg Engl. 2018 Jan;100(1):e15-e17. doi: 10.1308/rcsann.2017.0179. Epub 2017 Oct 19.
Abstract
Delayed gastrointestinal bleeding in the context of a gastric fistula is a very rare complication of longitudinal sleeve gastrectomy. We report the case of a patient who presented with massive gastrointestinal bleeding from a pseudoaneurysm arising from the splenic artery following complications after a longitudinal sleeve gastrectomy several months previously. The case was successfully managed with angiographic embolisation and we present our experience with recommendations for managing this rare but life-threatening complication.
摘要
胃瘘情况下的延迟性胃肠道出血是纵向袖状胃切除术非常罕见的并发症。我们报告了一例患者，该患者在数月前接受纵向袖状胃切除术后出现并发症，因脾动脉假性动脉瘤导致大量胃肠道出血。该病例通过血管造影栓塞成功治疗，我们介绍了我们处理这种罕见但危及生命并发症的经验及建议。
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