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胃十二指肠动脉动脉瘤的血管内治疗:病例报告

Endovascular treatment of gastroduodenal artery aneurysm: case report.

作者信息

Casas André Luís Foroni, Camargo Mariozinho Pacheco de Freitas, Moisés Carla Batista, Trad Henrique Simão, Joviliano Edwaldo Edner

机构信息

Universidade de Franca - UNIFRAN, Franca, SP, Brasil.

Universidade de São Paulo - USP, Campus de Ribeirão Preto, Ribeirão Preto, SP, Brasil.

出版信息

J Vasc Bras. 2019 Nov 13;18:e20190019. doi: 10.1590/1677-5449.190019.

Abstract

Gastroduodenal artery aneurysm is a disease with low incidence that manifests in a nonspecific form in the majority of cases, which hinders initial diagnosis. Symptomatic cases may present with abdominal pains or hemorrhage secondary to rupture. In cases in which the aneurysm ruptures, prognosis is poor and mortality can reach 40%. Steps should therefore be taken to ensure early diagnosis and treatment. Although open surgical treatment is an option, over recent years there has been a growing trend to use endovascular techniques. This report describes a rare case of a young patient with a gastroduodenal artery who was successfully treated with endovascular techniques.

摘要

胃十二指肠动脉动脉瘤是一种发病率较低的疾病,多数情况下表现形式不具有特异性,这妨碍了早期诊断。有症状的病例可能表现为腹痛或破裂继发的出血。在动脉瘤破裂的病例中,预后较差,死亡率可达40%。因此,应采取措施确保早期诊断和治疗。虽然开放手术治疗是一种选择,但近年来使用血管内技术的趋势越来越明显。本报告描述了一例罕见的年轻胃十二指肠动脉患者,采用血管内技术成功治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ad1/6869645/67e14f29e3eb/jvb-18-e20190019-g01-en.jpg

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