Kaihara Masaki, Ono Shigeshi, Shibutani Shintaro, Funabiki Tomohiro, Egawa Tomohisa
Department of Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan.
Department of Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Kanagawa, Japan; Department of Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan.
Ann Vasc Surg. 2018 Jul;50:297.e5-297.e8. doi: 10.1016/j.avsg.2017.12.023. Epub 2018 Mar 5.
Aneurysms of the abdominal visceral arteries are infrequently encountered. Jejunal artery aneurysm (JAA) is one of the rarest visceral aneurysms, especially in young patients. Endovascular surgery tends to be an effective treatment for visceral artery aneurysms. Here, we report a case of symptomatic JAA with a peripheral dilated vessel in a young patient. However, in consideration of the patient's anatomic suitability and young age, we chose open surgical intervention with intraoperative angiography. Thus, we could resect the aneurysm and the peripheral dilated vessel, preserve the bowel, and leave no devices that could cause further complication. The choice of the most appropriate treatment should depend on aneurysm characteristics and the background of the patient.
腹内脏器动脉的动脉瘤很少见。空肠动脉动脉瘤（JAA）是最罕见的内脏动脉瘤之一，尤其在年轻患者中。血管内手术往往是治疗内脏动脉瘤的有效方法。在此，我们报告一例年轻患者出现症状性JAA且伴有外周扩张血管的病例。然而，考虑到患者的解剖学适宜性和年轻年龄，我们选择了术中血管造影的开放手术干预。因此，我们能够切除动脉瘤和外周扩张血管，保留肠管，且不留下可能导致进一步并发症的装置。最合适的治疗选择应取决于动脉瘤的特征和患者的背景情况。
