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脾肺固定术后20年出现大量胃出血。

Massive Gastric Bleed 20 Years After Splenopneumopexy.

作者信息

Abulawi Ahmad, Al-Tarbsheh Ali H, Bui Rosa, Richter Seth

机构信息

Department of Medicine, Albany Medical Center, Albany, NY.

Department of Medicine, Division of Gastroenterology and Hepatology, Albany Medical Center, Albany, NY.

出版信息

ACG Case Rep J. 2022 Sep 1;9(9):e00862. doi: 10.14309/crj.0000000000000862. eCollection 2022 Sep.

DOI:10.14309/crj.0000000000000862
PMID:36072360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9439819/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/7341ab4e300c/ac9-9-e00862-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/aa7651739456/ac9-9-e00862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/58ecdfa957a8/ac9-9-e00862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/cbfbd7ea1705/ac9-9-e00862-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/7341ab4e300c/ac9-9-e00862-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/aa7651739456/ac9-9-e00862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/58ecdfa957a8/ac9-9-e00862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/cbfbd7ea1705/ac9-9-e00862-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5777/9439819/7341ab4e300c/ac9-9-e00862-g004.jpg

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1
Massive Gastric Bleed 20 Years After Splenopneumopexy.脾肺固定术后20年出现大量胃出血。
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本文引用的文献

1
Splenopneumopexy: decompression of portal hypertension in the setting of portal venous occlusive disease.脾肺固定术:门静脉闭塞性疾病时门静脉高压的减压治疗
Dig Dis Sci. 2015 Apr;60(4):1101-5. doi: 10.1007/s10620-014-3405-y. Epub 2014 Oct 30.
2
Portopulmonary shunt by splenopneumopexy as a surgical treatment of Budd-Chiari syndrome.脾肺固定术建立门肺分流术作为布加综合征的一种外科治疗方法
Surgery. 1980 Jan;87(1):85-94.
3
Combined therapy for esophageal varices: sclerotherapy, embolization, and splenopneumopexy.
Surgery. 1987 May;101(5):535-43.
4
Splenopneumopexy: evaluation with splenoportography.脾肺固定术:脾门静脉造影评估
J Vasc Interv Radiol. 1992 Feb;3(1):91-4. doi: 10.1016/s1051-0443(92)72196-4.
5
Splenopneumopexy to treat portal hypertension produced by venous occlusive disease.脾肺固定术治疗静脉闭塞性疾病所致门静脉高压症。
Arch Surg. 1992 Sep;127(9):1129-32. doi: 10.1001/archsurg.1992.01420090141021.