Manzullo V, Bevilacqua G, Di Carlo V, Uggeri F
Minerva Chir. 1978;33(13-14):839-44.
A case of repeated, exsanguinating gastrointestinal haemorrhage in a 36-yr-old man, due to rupture in the duoedenum of an arteriosclerotic aneurysm of the coeliac artery, is described. Selective arteriography enabled the cause of bleeding to be established. The pictures for the coeliac and superior mesenteric arteries showed good hepatic arterial vascularisation via the vessels issuing from the right hand side of the superior mesenteric, immediately after its point of origin. Successful aneurysmectomy was not performed until the fifth operation, when the cause of bleeding had thus been made clear.
本文描述了一名36岁男性反复发生致死性胃肠道出血的病例，出血原因是腹腔动脉的动脉硬化性动脉瘤在十二指肠处破裂。选择性动脉造影确定了出血原因。腹腔动脉和肠系膜上动脉造影显示，肠系膜上动脉起始点右侧发出的血管为肝脏提供了良好的动脉血供。直到第五次手术时才成功进行了动脉瘤切除术，此时出血原因已明确。
