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结核性主动脉炎合并空肠动脉真菌性假性动脉瘤行血管内线圈栓塞治疗。

Tuberculous aortitis with jejunal artery mycotic pseudoaneurysm managed by endovascular coil embolisation.

机构信息

Radiodiagnosis, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, India

Radiodiagnosis, All India Institute of Medical Sciences - Bhubaneswar, Bhubaneswar, Odisha, India.

出版信息

BMJ Case Rep. 2024 Aug 3;17(8):e260463. doi: 10.1136/bcr-2024-260463.

Abstract

Mycotic aneurysm in a visceral artery due to tuberculosis (TB) is a rare occurrence. Imaging plays a critical role in its diagnosis. Over the last few years, minimally invasive interventional radiological treatment has replaced more invasive surgical procedures. Here, we report a case presenting with abdominal pain, diagnosed with jejunal artery mycotic pseudoaneurysm (PSA) secondary to TB, managed by endovascular coiling. Coil embolisation of the superior mesenteric artery branch was done using three coils, closing both the front door, back door and sac of the mycotic aneurysm. Visceral PSA following TB infection is rare and can be fatal if left untreated. Coil embolisation is a minimally invasive procedure with a high success rate and comparatively fewer complications.

摘要

由于结核病 (TB) 导致内脏动脉的真菌性动脉瘤是一种罕见的情况。影像学在其诊断中起着关键作用。在过去的几年中,微创介入放射治疗已经取代了更具侵入性的手术程序。在这里,我们报告了一例腹痛患者,被诊断为继发于结核病的空肠动脉真菌性假性动脉瘤 (PSA),采用血管内线圈栓塞治疗。使用三个线圈对肠系膜上动脉分支进行线圈栓塞,关闭真菌性动脉瘤的前门、后门和囊袋。TB 感染后内脏 PSA 很少见,如果不治疗可能是致命的。线圈栓塞是一种微创程序,成功率高,并发症相对较少。

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