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伪装成胃肠病并发症的脾动脉瘤:一例报告及文献综述

Splenic artery aneurysm masked as a gastroenterology complication: A case report and literature review.

作者信息

Liu ZhengJin, Wang Yong, Li Jia, Atogebania Julius Wedam, Wei Ling, Bai FeiHu

机构信息

Department of Gastroenterology, Second Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.

Department of Interventional Radiology and Vascular Surgery, Second Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.

出版信息

Ann Med Surg (Lond). 2022 Sep 11;82:104608. doi: 10.1016/j.amsu.2022.104608. eCollection 2022 Oct.

Abstract

INTRODUCTION AND IMPORTANCE

Splenic artery aneurysm has an insidious onset, and low incidence, most of which have no specific manifestations on the early onset and remains the most common visceral aneurysm and third most common splanchnic aneurysm as it still remains a challenge to deal with clinically by many clinicians.

CASE PRESENTATION

We report a single case of a young 21 years old girl who had no potential risk of splenic artery aneurysm on clinical presentation, for gastroenterology disease only assessment and attention in our facility. The patient born and raised on a tropical island in Southern China was clinically diagnosed with splenic artery aneurysm-associated gastroenterological complications which was presented earlier as hematemesis. The patient was considered to have received optimal critical care by our multidisciplinary team and classical features displayed within the clinical settings are worth documenting and contribute perfectly to medical literature as the patient on follow-up is now back to normal life.

CLINICAL DISCUSSION

Our patient recovered excellently on critically close follow-up since the patient had special gastroenterology associated complication features which masked the splenic artery aneurysm with very encouraging post-operative parameters or results.

CONCLUSION

The patient was considered to have received optimal multidisciplinary quaternary medical care for SAAs with gastroenterology-associated complications in our interventional cardiovascular and gastroenterology medicine department.

摘要

引言与重要性

脾动脉瘤起病隐匿,发病率低,多数在发病早期无特异性表现,它仍是最常见的内脏动脉瘤以及第三常见的内脏分支动脉瘤,许多临床医生在临床处理上仍面临挑战。

病例介绍

我们报告一例21岁年轻女性病例,该患者临床表现无脾动脉瘤潜在风险,仅因胃肠疾病在我院接受评估和关注。该患者在中国南方一个热带岛屿出生并长大,临床诊断为脾动脉瘤相关的胃肠并发症,早期表现为呕血。我们的多学科团队认为该患者得到了最佳的重症监护,临床环境中呈现的典型特征值得记录,并且对医学文献有很大贡献,因为该患者随访时已恢复正常生活。

临床讨论

由于患者具有特殊的胃肠相关并发症特征,掩盖了脾动脉瘤,术后参数或结果非常令人鼓舞,因此在严密随访下恢复良好。

结论

在我们的介入心血管和胃肠医学科,该患者被认为接受了针对伴有胃肠相关并发症的脾动脉瘤的最佳多学科四级医疗护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/586f/9577508/79570d687da3/gr1.jpg

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