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经导管动脉栓塞治疗破裂的右胃网膜动脉瘤,避免了急诊手术。

A case of ruptured right gastroepiploic aneurysm treated by transcatheter arterial embolization avoiding emergency surgery.

机构信息

Department of General and Gastroenterological Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan.

Department of Radiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo, 142-8666, Japan.

出版信息

Clin J Gastroenterol. 2021 Apr;14(2):633-637. doi: 10.1007/s12328-021-01363-0. Epub 2021 Feb 19.

Abstract

Gastroepiploic aneurysms are rare. We report the case of a 74-year-old man who presented with temporary loss of consciousness and abdominal pain. Computed tomography revealed a ruptured right gastroepiploic artery aneurysm. His vital signs improved after extracellular fluid infusion; hence, we performed transcatheter arterial embolization. There were no postoperative complications, and the patient was discharged on the 15th day of hospitalization. Ruptured abdominal aneurysms are often fatal and should be considered in patients with symptoms of anemia and abdominal pain. Currently, minimally invasive transcatheter arterial embolization had been designated as the preferred treatment option because of effectiveness in both diagnosis and treatment. Thus, we report a case of ruptured right gastroepiploic artery aneurysm treated by transcatheter arterial embolization, thereby preventing an emergency surgery.

摘要

胃网膜动脉瘤很罕见。我们报告了 1 例 74 岁男性,其表现为一过性意识丧失和腹痛。计算机断层扫描显示右侧胃网膜动脉破裂动脉瘤。补充细胞外液后患者生命体征改善,随后进行了经导管动脉栓塞术。术后无并发症,患者于住院第 15 天出院。破裂的腹主动脉瘤通常是致命的,对于有贫血和腹痛症状的患者应考虑该疾病。目前,由于经导管动脉栓塞术在诊断和治疗方面均有效,已将其指定为首选治疗方案。因此,我们报告了 1 例经导管动脉栓塞术治疗破裂的右胃网膜动脉瘤的病例,从而避免了急诊手术。

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