医源性肠系膜下动静脉瘘致巨大下肠系膜静脉动脉瘤。
Giant Inferior Mesenteric Vein Aneurysm Secondary to Iatrogenic Inferior Mesenteric Arteriovenous Fistula.
机构信息
Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.
Department of Radiology, Rigshospitalet, Copenhagen, Denmark.
出版信息
J Endovasc Ther. 2024 Jun;31(3):491-494. doi: 10.1177/15266028221126941. Epub 2022 Sep 26.
PURPOSE
Visceral venous aneurysms are rare, especially in the inferior mesenteric vein (IMV). We report a giant IMV aneurysm secondary to an iatrogenic arteriovenous fistula (AVF).
CASE REPORT
A woman presented with an incidental finding of a 7 cm large IMV aneurysm and an inferior mesenteric arteriovenous shunt. The patient underwent successful endovascular occlusion of the shunt to avoid aneurysm rupture and portal hypertension.
CONCLUSION
Embolization is a possible treatment strategy for mesenteric venous aneurysms with an AVF.
CLINICAL IMPACT
We describe an unusual mesenteric AV-shunt from a surgical crush injury that caused a giant venous mesenteric aneurysm and offer technical aspects on minimally invasive endovascular treatment.
目的
内脏静脉动脉瘤很少见，尤其是在肠系膜下静脉（IMV）中。我们报告了一例继发于医源性动静脉瘘（AVF）的巨大 IMV 动脉瘤。
病例报告
一名女性因偶然发现 7 厘米大的 IMV 动脉瘤和肠系膜下动静脉分流而就诊。该患者成功地进行了血管内栓塞以避免动脉瘤破裂和门静脉高压。
结论
栓塞是伴有 AVF 的肠系膜静脉动脉瘤的一种可行的治疗策略。
临床影响
我们描述了一例由外科挤压伤引起的不常见的肠系膜 AV 分流，导致巨大的肠系膜静脉动脉瘤，并提供了微创血管内治疗的技术方面。
Zotero 插件