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多发性巨大脾动脉瘤伴脾功能亢进和门静脉高压:病例报告

Multiple Giant Splenic Artery Aneurysms with Hypersplenism and Portal Hypertension: A Case Report.

作者信息

Rehman Zia Ur

机构信息

Section of Vascular Surgery, Department of Surgery, Agha Khan University Hospital, Karachi, Pakistan.

出版信息

Ann Vasc Dis. 2019 Jun 25;12(2):250-252. doi: 10.3400/avd.cr.19-00021.

DOI:10.3400/avd.cr.19-00021
PMID:31275486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6600099/
Abstract

Multiple giant splenic artery aneurysms (>10 cm in diameter) are rare. We report a patient presenting with these aneurysms who had also associated portal hypertension and massive splenomegaly. Almost all the aneurysms were sealed by endovascular means at the first stage. Later, for the residual aneurysms at splenic hilum and enlarged spleen, splenectomy was performed. She made an uneventful recovery.

摘要

多发性巨大脾动脉瘤(直径>10厘米)较为罕见。我们报告了一名患有此类动脉瘤且伴有门静脉高压和巨脾症的患者。几乎所有动脉瘤在第一阶段都通过血管内方法封堵。后来,针对脾门处的残余动脉瘤和肿大的脾脏,进行了脾切除术。她恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/4049b24e7720/avd-12-2-cr.19-00021-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/a27d7adcccb6/avd-12-2-cr.19-00021-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/375a8775f78b/avd-12-2-cr.19-00021-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/4049b24e7720/avd-12-2-cr.19-00021-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/a27d7adcccb6/avd-12-2-cr.19-00021-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/375a8775f78b/avd-12-2-cr.19-00021-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecd7/6600099/4049b24e7720/avd-12-2-cr.19-00021-figure03.jpg

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本文引用的文献

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2
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Case Rep Gastrointest Med. 2016;2016:6278452. doi: 10.1155/2016/6278452. Epub 2016 Mar 27.
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Management of Giant Splenic Artery Aneurysm: Comprehensive Literature Review.
巨大脾动脉瘤的管理:综合文献综述
Medicine (Baltimore). 2015 Jul;94(27):e1016. doi: 10.1097/MD.0000000000001016.
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Intragastric rupture of splenic artery aneurysms: Three case reports and literature review.胃内破裂的脾动脉瘤:三例报告并文献复习。
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Visceral artery aneurysms, an experience on 32 cases in a single center: treatment from surgery to multilayer stent.内脏动脉瘤:单中心32例经验——从手术治疗到多层支架治疗
Ann Vasc Surg. 2011 Oct;25(7):923-35. doi: 10.1016/j.avsg.2011.04.006. Epub 2011 Aug 10.
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Surgical treatment of visceral artery aneurysms: A 25-year experience.内脏动脉瘤的外科治疗:25年经验
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