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肠系膜动脉假性动脉瘤，继发于复杂憩室炎引流管置入术后。

Pseudoaneurysm of the Mesenteric Artery Status Post Drain Placement for Complicated Diverticulitis.

作者信息

Spencer Brianna L, Deutsch Michael

机构信息

Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

Colorectal Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.

出版信息

Cureus. 2020 Dec 31;12(12):e12394. doi: 10.7759/cureus.12394.

DOI:10.7759/cureus.12394
PMID:33532156
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7845749/
Abstract

Perforated diverticulitis presents a challenging clinical scenario for the surgeon. Development of an abscess in those without an acute abdomen may be amendable to non-operative drainage. Furthermore, early intervention can dramatically alter the hospital course let alone the overall outcome. While relatively safe as a procedure, image-guided drainage does carry risk that needs to be calculated relative to benefit gained. One rare albeit possibly serious risk is pseudoaneurysm formation.

摘要

穿孔性憩室炎对外科医生来说是一个具有挑战性的临床情况。在没有急腹症的患者中形成脓肿可能适合非手术引流。此外，早期干预可以显著改变住院病程，更不用说总体结果了。虽然作为一种操作相对安全，但影像引导下的引流确实存在风险，需要相对于所获得的益处进行权衡。一种罕见但可能严重的风险是假性动脉瘤形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/bfaa2ed544b0/cureus-0012-00000012394-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/b78acdf77494/cureus-0012-00000012394-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/ba3697acd3a0/cureus-0012-00000012394-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/bfaa2ed544b0/cureus-0012-00000012394-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/b78acdf77494/cureus-0012-00000012394-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/ba3697acd3a0/cureus-0012-00000012394-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d25a/7845749/bfaa2ed544b0/cureus-0012-00000012394-i03.jpg

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本文引用的文献

1
The Multidisciplinary Management of Acute Complicated Diverticulitis.急性复杂性憩室炎的多学科管理
Inflamm Intest Dis. 2018 Dec;3(2):80-90. doi: 10.1159/000486677. Epub 2018 Feb 16.
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Abscess drainage.脓肿引流
Semin Intervent Radiol. 2012 Dec;29(4):325-36. doi: 10.1055/s-0032-1330068.
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Therapeutic management of superior mesenteric artery aneurysms.肠系膜上动脉动脉瘤的治疗管理。
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