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一名肾细胞癌患者合并肠系膜下动脉瘤。

An inferior mesenteric artery aneurysm in a patient with renal cell carcinoma.

作者信息

Mert Bülent, Buğra Abdul Kerim, Polat Adil

机构信息

Department of Cardiovascular Surgery, Bağcılar Training and Research Hospital, Istanbul, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Oct 21;28(4):680-683. doi: 10.5606/tgkdc.dergisi.2020.20392. eCollection 2020 Oct.

DOI:10.5606/tgkdc.dergisi.2020.20392
PMID:33403143
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7759044/
Abstract

An inferior mesenteric artery aneurysm is considered one of the visceral artery aneurysms, which is extremely rare, although its incidence of detection has been increasing in recent years. A 59-year-old male patient with a renal cell carcinoma in the left kidney was diagnosed with an inferior mesenteric artery aneurysm and treated surgically. Computed tomography revealed atrophy of the right kidney and occlusion of the celiac trunk, superior mesenteric artery, and left renal artery. There were no complications during the hospital stay and no mortality or morbidity was observed at three months of follow-up. In conclusion, the treatment of inferior mesenteric artery aneurysms is usually recommended, due to possible complications such as rupture and thromboembolism with high mortality and morbidity rates.

摘要

肠系膜下动脉瘤被认为是内脏动脉瘤之一,极为罕见,尽管近年来其检出率一直在上升。一名59岁左肾患有肾细胞癌的男性患者被诊断出患有肠系膜下动脉瘤并接受了手术治疗。计算机断层扫描显示右肾萎缩以及腹腔干、肠系膜上动脉和左肾动脉闭塞。住院期间无并发症发生,随访三个月未观察到死亡或发病情况。总之,由于可能出现破裂和血栓栓塞等并发症,且死亡率和发病率较高,通常建议对肠系膜下动脉瘤进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eced/7759044/e77c34b05ab9/TJTCS-2020-28-4-680-683-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eced/7759044/5a89c8641233/TJTCS-2020-28-4-680-683-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eced/7759044/e77c34b05ab9/TJTCS-2020-28-4-680-683-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eced/7759044/5a89c8641233/TJTCS-2020-28-4-680-683-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eced/7759044/e77c34b05ab9/TJTCS-2020-28-4-680-683-F2.jpg

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本文引用的文献

1
Inferior mesenteric artery aneurysm: case report and literature review.肠系膜下动脉动脉瘤:病例报告及文献综述
Ann Vasc Dis. 2013;6(1):98-101. doi: 10.3400/avd.cr.12.00086. Epub 2013 Mar 25.
2
A case of inferior mesenteric artery aneurysm with an occlusive disease in superior mesenteric artery and the celiac artery.一例肠系膜下动脉瘤合并肠系膜上动脉及腹腔干闭塞性疾病。
Ann Vasc Dis. 2010;3(2):160-3. doi: 10.3400/avd.AVDcr01006. Epub 2010 Sep 13.
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Acute retroperitoneal bleeding due to inferior mesenteric artery aneurysm: case report.
因肠系膜下动脉动脉瘤导致的急性腹膜后出血:病例报告。
BMC Gastroenterol. 2010 Jun 9;10:59. doi: 10.1186/1471-230X-10-59.
4
Inferior mesenteric artery aneurysm with occlusion of the superior mesenteric artery, coeliac trunk and right renal artery.肠系膜下动脉动脉瘤伴肠系膜上动脉、腹腔干和右肾动脉闭塞。
Eur J Vasc Endovasc Surg. 2008 Mar;35(3):312-3. doi: 10.1016/j.ejvs.2007.07.018. Epub 2007 Oct 29.
5
Inferior mesenteric artery aneurysm combined with renal artery stenosis in a patient with neurofibromatosis.一名患有神经纤维瘤病的患者出现肠系膜下动脉动脉瘤合并肾动脉狭窄。
Perspect Vasc Surg Endovasc Ther. 2006 Sep;18(3):217-20. doi: 10.1177/1531003506295101.