脾动脉假性动脉瘤导致危及生命的胃肠道出血的罕见病例：病例报告及文献综述
Unusual Case of Life-Threatening Gastro Intestinal Bleed from a Splenic Artery Pseudoaneurysm: Case Report and Review of Literature.
作者信息
Menaria Puneet, Muddana Venkata
机构信息
Department of Hospital Medicine, Aurora St. Luke's Medical Center, Suite 305, Medical Office Building 2, West K.K. River Parkway, Milwaukee, WI 53215, USA.
Clinical Assistant Professor, Department of Gastroenterology, Aurora St. Luke's Medical Center, 2900 W. Oklahoma Avenue, Milwaukee, WI 53215, USA.
出版信息
Case Rep Gastrointest Med. 2019 Feb 6;2019:8528906. doi: 10.1155/2019/8528906. eCollection 2019.
Abstract
Large upper gastro intestinal (GI) bleeding can be life-threatening. Splenic artery pseudoaenurysm (SAP) is rare but can cause massive upper GI bleeding. We report a case of a 57-year-old woman who had massive upper GI bleeding from SAP eroding into distal duodenum. Literature review shows SAP can bleed into stomach or pancreatic pseudocyst or biliary tree and peritoneal cavity; however, there are no previous reported cases of SAP bleeding into distal duodenum. Splenic artery embolization (SAE) is the preferred treatment for a bleeding SAP. Splenic infarcts can result following a SAE.
摘要
大量上消化道（GI）出血可能危及生命。脾动脉假性动脉瘤（SAP）罕见，但可导致大量上消化道出血。我们报告一例57岁女性，其SAP侵蚀十二指肠远端导致大量上消化道出血。文献回顾显示，SAP可向胃、胰腺假性囊肿、胆管树或腹腔内出血；然而，此前尚无SAP向十二指肠远端出血的报道。脾动脉栓塞术（SAE）是出血性SAP的首选治疗方法。SAE后可能会导致脾梗死。
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