Diettrich N A, Cacioppo J C, Ying D P
Department of Surgery, Columbus Hospital, Chicago, IL.
J Vasc Surg. 1988 Aug;8(2):187-9. doi: 10.1067/mva.1988.avs0080187.
Aneurysms located in the arterial tree that directly supplies the alimentary tract account for a small percentage of all aneurysms. Jejunal branch artery aneurysms are an uncommon component of this group, and gastrointestinal hemorrhage from such an aneurysm has rarely been described. We report a case of a jejunal branch artery aneurysm appearing as sudden and massive gastrointestinal bleeding in a 28-year-old man. Diagnosis was made by selective superior mesenteric artery angiography, and the patient underwent successful segmental resection of the involved area of jejunum. The pertinent literature is reviewed.
位于直接供应消化道的动脉血管树中的动脉瘤在所有动脉瘤中占比很小。空肠分支动脉动脉瘤是这一类中不常见的组成部分,并且很少有关于此类动脉瘤引起胃肠道出血的报道。我们报告一例28岁男性患者,其空肠分支动脉动脉瘤表现为突发大量胃肠道出血。通过选择性肠系膜上动脉血管造影术做出诊断,患者接受了受累空肠区域的成功节段性切除。并对相关文献进行了综述。