经导管动脉栓塞术治疗左网膜动脉动脉瘤自发性破裂：一例报告
Spontaneous rupture of a left omental artery aneurysm treated by transcatheter arterial embolization: A case report.
作者信息
Maghrebi Houcine, Zaiem Asma, Beji Hazem, Jeribi Bedis, Hadded Anis, Boukriba Seif, Frikha Wassim, Hamissa Selim, Jouini Mohamed, Kacem Montasser
机构信息
Department of General Surgery A, La Rabta Hospital Tunis, Tunisia.
Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia.
出版信息
Ann Med Surg (Lond). 2022 Sep 15;82:104704. doi: 10.1016/j.amsu.2022.104704. eCollection 2022 Oct.
BACKGROUND
Omental artery aneurysms are extremely rare. Their rupture is related to high mortality and often treated by open surgery. We describe a case of a spontaneous rupture of a left omental artery aneurysm (OAA) that was successfully treated by transcatheter arterial embolization (TAE).
CASE PRESENTATION
A 68-year-old man presented with acute abdominal pain. On examination, he was hypotensive and tachycardic with a blood pressure of 90/50 mm Hg. He had diffuse abdominal distension and tenderness.An abdominal enhanced computed tomography scan (CT) showed a rupture of the left OAA responsible for moderate hemoperitoneum. We performed a successful TAE.
CONCLUSION
Ruptured OAA causes high mortality. OAA represents the rarest form of splanchnic artery aneurysms. Interventional radiology permits to avoid unnecessary surgery.TAE is a safe procedure to control ruptured OAA. We highlight the importance of a rapid embolization if the patient is hemodynamically stable.
背景
网膜动脉动脉瘤极为罕见。其破裂与高死亡率相关，常需通过开放手术治疗。我们描述了一例经导管动脉栓塞术（TAE）成功治疗的左网膜动脉动脉瘤（OAA）自发性破裂病例。
病例介绍
一名68岁男性因急性腹痛就诊。检查发现，他血压低、心动过速，血压为90/50毫米汞柱。他有弥漫性腹胀和压痛。腹部增强计算机断层扫描（CT）显示左OAA破裂，导致中度腹腔积血。我们成功实施了TAE。
结论
破裂的OAA导致高死亡率。OAA是内脏动脉动脉瘤最罕见的形式。介入放射学可避免不必要的手术。TAE是控制破裂OAA的安全方法。我们强调，如果患者血流动力学稳定，快速栓塞的重要性。
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