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脾动脉动脉瘤破裂致急性大量出血:一例报告

Acute massive bleeding from splenic artery aneurysm rupture: a case report.

作者信息

Locurto P, Airò Farulla M, Di Lorenzo Giorgio, Amico M, Ciaccio G

出版信息

G Chir. 2019 Nov-Dec;40(6):530-534.

Abstract

Splenic artery aneurysm (SAA) is the most common aneurysm of visceral vessels. Usually the rupture occurs into the free peritoneal cavity and causes massive bleeding, much less frequently the rupture happens into the lumen of the gastrointestinal tract. We describe the case of a 39-year-old male patient with a spontaneous rupture of a splenic artery aneurysm and an acute massive peritoneal bleeding. The case described confirms the rupture of SAA is always a dramatic event and an emergency laparotomy is a life-saving procedure.

摘要

脾动脉瘤(SAA)是内脏血管中最常见的动脉瘤。通常破裂发生在游离腹腔内并导致大量出血,较少见的是破裂进入胃肠道腔内。我们描述了一名39岁男性患者,其脾动脉瘤自发破裂并伴有急性大量腹腔出血的病例。所描述的病例证实脾动脉瘤破裂始终是一个严重事件,急诊剖腹手术是一种挽救生命的手术。

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