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巨大脾动脉瘤:病例报告

Giant splenic artery aneurysm: case report.

作者信息

Shabunin Aleksey Vasilyevich, Bedin Vladimir Vladimirovich, Tavobilov Mikhail Mikhailovich, Karpov Аleksey Andreevich, Alieva Fariza Fayzulloevna

机构信息

Botkin Hospital, Moscow, Russia.

Russian Medical Academy of Continuous Professional Education - RMACPE, Moscow, Russia.

出版信息

J Vasc Bras. 2023 Nov 27;22:e20230108. doi: 10.1590/1677-5449.20230108. eCollection 2023.

Abstract

True splenic artery aneurysms are exceedingly rare and the medical literature contains only a limited number of reports on this pathology. Presently, there remains a lack of consensus regarding the optimal management and treatment approaches for patients in this category. Over the course of the last century, significant changes have occurred in the realm of surgical options, transitioning from open and endovascular procedures to the more advanced laparoscopic and robotic interventions. The propensity for these aneurysms to rupture underscores the need for timely intervention. The risk of rupture is notably elevated in patients harboring giant splenic artery aneurysms. In this report, we present the case of a 55-year-old woman diagnosed with a giant splenic artery aneurysm measuring 12x12 cm in diameter. She presented with notable weakness, discomfort, and pain in the left subcostal area. In response to her complaints and after thorough evaluation, we opted for a surgical procedure encompassing distal pancreatic resection in conjunction with splenectomy and resection of the giant splenic artery aneurysm.

摘要

真性脾动脉瘤极为罕见,医学文献中关于这种病理情况的报道数量有限。目前,对于这类患者的最佳管理和治疗方法仍缺乏共识。在上个世纪,手术选择领域发生了重大变化,从开放手术和血管内手术过渡到更先进的腹腔镜和机器人干预。这些动脉瘤破裂的倾向突出了及时干预的必要性。患有巨大脾动脉瘤的患者破裂风险显著升高。在本报告中,我们介绍了一名55岁女性的病例,她被诊断患有直径为12×12厘米的巨大脾动脉瘤。她出现了明显的左侧肋下区域无力、不适和疼痛。针对她的症状并经过全面评估后,我们选择了一种手术方法,包括远端胰腺切除术、脾切除术以及巨大脾动脉瘤切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d33/10706091/ecdb3fcd9605/jvb-22-e20230108-g01.jpg

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