Britto Maneka M, Lukies Matthew, Milne Charles, Joseph Timothy, Lee James C
Department of General Surgery, Alfred Health, Melbourne, Victoria, Australia.
Department of Radiology, Alfred Health, Melbourne, Victoria, Australia.
BMJ Case Rep. 2018 Mar 13;2018:bcr-2017-223731. doi: 10.1136/bcr-2017-223731.
Segmental arterial mediolysis (SAM) is a rare, non-inflammatory, vascular condition that predominantly affects medium-sized to large-sized abdominal arteries and can present with haemorrhage into the abdominal cavity. We report the case of a patient with SAM of the coeliac, splenic, renal and gastroduodenal arteries in whom endovascular coil embolisation was successfully used to treat a bleeding gastroduodenal artery pseudoaneurysm.
节段性动脉中层溶解(SAM)是一种罕见的、非炎症性血管疾病,主要累及中大型腹主动脉,可导致腹腔内出血。我们报告了一例患有腹腔干、脾动脉、肾动脉和胃十二指肠动脉节段性动脉中层溶解的患者,该患者成功地接受了血管内弹簧圈栓塞术治疗胃十二指肠动脉假性动脉瘤出血。