Basahai Izzat, Alzeer Meshari A, Almuhanna Bader S
Consultant Interventional Radiologist, King Khalid University Hospital, Department of Radiology, King Saud University, Riyadh, Saudi Arabia.
MBBS, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Radiol Case Rep. 2024 Mar 22;19(6):2351-2356. doi: 10.1016/j.radcr.2024.02.093. eCollection 2024 Jun.
Pseudoaneurysms are rare but potentially life-threatening complications that may occur after surgical procedures. This report presents the case of a 28-year-old woman who developed a pseudoaneurysm in the Left Inferior Phrenic Artery (LIPA) following a Laparoscopic Sleeve Gastrectomy (LSG). The complication manifested as severe gastrointestinal bleeding. Upper GI Endoscopy and multislice CT scan, repeated twice, failed to localize the bleeding source to treat it. Successful endovascular embolization using a Glue/Lipidol mixture was achieved despite difficulties in localizing the pseudoaneurysm, resulting in immediate symptomatic relief and avoiding surgical intervention. This case shows the importance of prompt identification and management of LIPA pseudoaneurysms following LSG, highlighting the importance of early diagnosis to prevent further hemodynamic deterioration and other adverse outcomes.
假性动脉瘤是一种罕见但可能危及生命的并发症，可发生于外科手术后。本报告介绍了一名28岁女性的病例，该患者在腹腔镜袖状胃切除术（LSG）后左膈下动脉（LIPA）出现假性动脉瘤。该并发症表现为严重的胃肠道出血。上消化道内镜检查和多层CT扫描重复两次，均未能定位出血源以进行治疗。尽管定位假性动脉瘤存在困难，但使用胶水/碘油混合物成功进行了血管内栓塞，立即缓解了症状，避免了手术干预。该病例显示了LSG后及时识别和处理LIPA假性动脉瘤的重要性，强调了早期诊断对于防止进一步血流动力学恶化和其他不良后果的重要性。
