胃癌侵蚀脾动脉假性动脉瘤导致的急性胃出血：上消化道出血两种极其罕见的病因。
Acute Gastric Hemorrhage due to Gastric Cancer Eroding Into a Splenic Artery Pseudoaneurysm: Two Dangerously Rare Etiologies of Upper Gastrointestinal Bleeding.
作者信息
Liyen Cartelle Anabel, Uy Pearl Princess, Yap John Erikson L
机构信息
Gastroenterology and Hepatology, Medical College of Georgia at Augusta University, Augusta, USA.
出版信息
Cureus. 2020 Sep 27;12(9):e10685. doi: 10.7759/cureus.10685.
Abstract
Splenic artery pseudoaneurysms (SAPs) are rare causes of upper gastrointestinal bleeding (UGIB), with less than 250 reported cases in the literature. The highest incidence of SAPs is in patients with a history of acute or chronic pancreatitis or splenic artery trauma. SAP in the setting of gastric malignancy is an exceedingly rare finding. We present the unusual hospital course of an 82-year-old male with advanced gastric cancer presenting with UGIB secondary to a visceral communication between his known gastric malignancy and a SAP.
摘要
脾动脉假性动脉瘤（SAPs）是上消化道出血（UGIB）的罕见病因，文献报道病例不足250例。SAPs的最高发病率见于有急慢性胰腺炎病史或脾动脉创伤的患者。胃癌患者发生SAP极为罕见。我们报告了一名82岁晚期胃癌男性患者不同寻常的住院病程，该患者因已知的胃癌与SAP之间的内脏交通而出现UGIB。
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