Emergency Surgery Department, St. Orsola University Hospital, Bologna, Italy.
Radiology Unit, Department of Experimental, Diagnostic and Speciality Medicine, St. Orsola University Hospital, Bologna, Italy.
Dig Dis Sci. 2019 Nov;64(11):3086-3091. doi: 10.1007/s10620-019-05853-7.
Although the diagnosis of visceral pseudoaneurysm is unusual, it requires emergent attention due to the risk of rupture. We describe a 70-year-old man with a gastroduodenal artery pseudoaneurysm that manifested as recurrent hemorrhage. We highlight the possible etiologies, clinical presentations, diagnostic tools, and treatment options for this condition. In this instance, the patient was successfully treated by selective angioembolization. A visceral pseudoaneurysm should be considered in patients with abdominal pain and GI hemorrhage. At present, angioembolization is a first-line therapy.
尽管内脏假性动脉瘤的诊断并不常见,但由于其破裂的风险,仍需要紧急关注。我们描述了一位 70 岁男性的胃十二指肠动脉假性动脉瘤病例,其表现为反复出血。我们强调了这种情况下可能的病因、临床表现、诊断工具和治疗选择。在本例中,患者通过选择性血管栓塞治疗成功。对于有腹痛和胃肠道出血的患者,应考虑内脏假性动脉瘤。目前,血管栓塞治疗是一线治疗方法。