School of Medicine, The University of Notre Dame, Fremantle, Western Australia, Australia.
St John of God Subiaco Hospital, Perth, Australia.
Int J Colorectal Dis. 2020 Apr;35(4):779-782. doi: 10.1007/s00384-020-03531-z. Epub 2020 Feb 10.
Visceral artery aneurysms (VAA), an uncommon disorder of splanchnic vasculature, are associated with significant morbidity and mortality. Despite largely being amenable to endovascular therapies, the initial management of symptomatic VAA typically falls under the care of general surgeons. It is thus essential to have knowledge of the diagnosis and treatment of VAA and to be cognisant of deviations from normal gastrointestinal vasculature.
In this paper, we describe the case of a 72-year-old male presenting with a VAA following elective spinal surgery, followed by a review of the clinical diagnosis and management of VAA.
Visceral artery aneurysm must be considered as a differential diagnosis for acute abdominal pain and anaemia in the post-operative period following all major operations. Knowledge of the clinical features of VAA and indications for specific intervention are essential for all general surgeons. Furthermore, it is imperative to recognise deviations from normal vasculature of the gastrointestinal tract.
内脏动脉动脉瘤（VAA）是一种少见的内脏血管疾病，与较高的发病率和死亡率相关。尽管大多数 VAA 可通过血管内治疗，但有症状的 VAA 的初始治疗通常仍由普通外科医生负责。因此，了解 VAA 的诊断和治疗方法，并注意到胃肠道血管的异常，这一点至关重要。
本文描述了一位 72 岁男性患者在接受择期脊柱手术后出现 VAA 的病例，并对 VAA 的临床诊断和治疗进行了回顾。
在所有大型手术后的术后恢复期，如果出现急性腹痛和贫血，必须将内脏动脉动脉瘤作为鉴别诊断之一。所有普通外科医生都应了解 VAA 的临床特征和特定干预的适应证。此外，认识到胃肠道血管的异常也很重要。
