自发性孤立性脾动脉夹层破裂并胰管出血的血管内栓塞治疗：一例报告。
Endovascular embolization of spontaneous rupture of isolated splenic artery dissection associated with hemosuccus pancreaticus: a case report.
机构信息
Department of Vascular Surgery, General Surgery, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan, 250012, People's Republic of China.
Department of Pharmacology, School of Basic Medical Sciences, Shandong University, Jinan, 250012, People's Republic of China.
出版信息
BMC Cardiovasc Disord. 2021 Jul 9;21(1):335. doi: 10.1186/s12872-021-02148-6.
BACKGROUND
Isolated splenic artery dissection (SAD) is extremely rare, life-threatening, and particularly difficult to diagnose. Moreover, SAD presenting as digestive hemorrhage has not been reported.
CASE PRESENTATION
A 44-year-old man presented with recurrent life-threatening hematochezia. Magnetic resonance and computed tomographic angiography showed isolated SAD with an intrapancreatic hematoma. Selective angiography confirmed the diagnosis of rupture of SAD. Hemosuccus pancreaticus was considered the potential mechanism of digestive hemorrhage. It was successfully managed by endovascular coil embolization.
CONCLUSIONS
Isolated SAD is especially rare but fatal. Rupture of SAD should be considered in the differential diagnosis as a rare cause of digestive hemorrhage. Endovascular coil embolization is effective in treating ruptured SAD.
背景
孤立性脾动脉夹层（SAD）极为罕见，危及生命，尤其难以诊断。此外，SAD 表现为消化道出血尚未见报道。
病例介绍
一名 44 岁男性反复出现危及生命的血便。磁共振和计算机断层血管造影显示孤立性 SAD 合并胰内血肿。选择性血管造影证实了 SAD 破裂的诊断。胰管出血被认为是消化道出血的潜在机制。通过血管内线圈栓塞成功治疗。
结论
孤立性 SAD 极其罕见但致命。SAD 破裂应作为消化道出血的罕见病因纳入鉴别诊断。血管内线圈栓塞治疗 SAD 破裂有效。
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