Abulawi Ahmad, Al-Tarbsheh Ali H, Bui Rosa, Richter Seth
Department of Medicine, Albany Medical Center, Albany, NY.
Department of Medicine, Division of Gastroenterology and Hepatology, Albany Medical Center, Albany, NY.
ACG Case Rep J. 2022 Sep 1;9(9):e00862. doi: 10.14309/crj.0000000000000862. eCollection 2022 Sep.
Splenopneumopexy is an anastomosis performed for patients with portal hypertension secondary to veno-occlusive disease of the portal, splenic, or mesenteric veins. We present a case of an adult gentleman who presented with melena and was found to have pseudoaneurysm almost 20 years after his procedure. We also describe the clinical, laboratory, endoscopic, and radiological workup conducted to diagnose and manage gastric bleeding in this rare complication.
脾肺固定术是针对因门静脉、脾静脉或肠系膜静脉静脉闭塞性疾病继发门静脉高压的患者所进行的一种吻合术。我们报告一例成年男性病例,该患者在接受手术后近20年出现黑便,经检查发现患有假性动脉瘤。我们还描述了为诊断和处理这种罕见并发症中的胃出血所进行的临床、实验室、内镜及影像学检查。