胃网膜动脉动脉瘤破裂：一例报告。
Ruptured gastroepiploic artery aneurysm: A case report.
作者信息
Ashrafi Ahmad S, Horkoff Michael J, Yousuf Junaid, Stedman Alfred
机构信息
Division of Thoracic Surgery, Ottawa Hospital, General Campus, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada; UBC Department of Surgery, Faculty of Medicine, 950 West 10(th) Ave., Vancouver, British Columbia V5Z 1M9, Canada.
Division of General Surgery, University of Calgary, 1403 29(th) Street NW, Calgary, Alberta T2N 2T9, Canada.
出版信息
Int J Surg Case Rep. 2017;41:132-133. doi: 10.1016/j.ijscr.2017.08.065. Epub 2017 Oct 17.
INTRODUCTION
Gastroepiploic artery aneurysms are extremely rare, with few reported cases in the literature. The risk of rupture however, is high and thus warrants attention.
PRESENTATION OF CASE
Here we present a rare case of a women who presented to the emergency department in shock and was found to have a ruptured gastroepiploic artery aneurysm during surgical exploration. Suture ligation of the aneurysm was completed.
DISCUSSION
Although rare, gastroepiploic artery aneurysms have up to a 90% rate of rupture and therefore require intervention. A laparoscopic approach has been described however, in cases where rupture has occurred, urgent laparotomy and control of hemorrhage is needed.
CONCLUSION
We describe a rare case of a ruptured gastroepiploic aneurysm that was successfully managed with urgent laparotomy and aneurysmal resection.
引言
胃网膜动脉瘤极为罕见，文献报道的病例较少。然而，其破裂风险很高，因此值得关注。
病例介绍
在此，我们报告一例罕见病例，一名女性因休克被送往急诊科，在手术探查中发现患有破裂的胃网膜动脉瘤。完成了动脉瘤的缝合结扎。
讨论
尽管胃网膜动脉瘤罕见，但其破裂率高达90%，因此需要进行干预。虽然已有腹腔镜手术的描述，但在发生破裂的情况下，需要紧急剖腹手术并控制出血。
结论
我们描述了一例罕见的破裂胃网膜动脉瘤病例，通过紧急剖腹手术和动脉瘤切除术成功治疗。
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