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针对Frantz肿瘤的胰腺中段切除术：通过放射栓塞治疗脾动脉瘤

Median Pancreatectomy for Frantz Tumor: Management of a Splenic Artery Aneurysm by Radiological Embolization.

作者信息

Idrissi Kaitouni Boubker, Ouzzaouit Hamza, Laalou Talha, Sekkat Hamza, Mahi Mohamed, Nassar Ittimade, El Aoufir Omar, Bakkali Youness, Mhamdi Alaoui Mouna, Sabbah Farid, Raiss Mohammed, Hrora Abdelmalek

机构信息

Digestive Surgical Department C, Centre Hospitalier Ibn Sina, Rabat, Morocco.

Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.

出版信息

Case Rep Surg. 2024 Oct 23;2024:6188288. doi: 10.1155/2024/6188288. eCollection 2024.

DOI:10.1155/2024/6188288
PMID:39478791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524693/
Abstract

Iatrogenic aneurysms of the splenic artery constitute a rare yet potentially severe complication arising from diverse medical or surgical interventions. The clinical complexity and challenging management strategies associated with these aneurysms pose significant difficulties for clinicians. This circumstance is exemplified in our case report, detailing an iatrogenic aneurysm of the splenic artery that emerged secondary to a pancreatic fistula following a median pancreatectomy performed for a Frantz tumor. The intricate clinical presentation of this case underscores the considerable management challenges posed by such iatrogenic complications.

摘要

脾动脉医源性动脉瘤是由各种医疗或外科干预引起的一种罕见但可能严重的并发症。与这些动脉瘤相关的临床复杂性和具有挑战性的管理策略给临床医生带来了重大困难。我们的病例报告就例证了这种情况，详细描述了一例因Frantz肿瘤行胰中段切除术后发生胰瘘继发的脾动脉医源性动脉瘤。该病例复杂的临床表现凸显了此类医源性并发症所带来的巨大管理挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/7abf4b84ab5a/CRIS2024-6188288.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/eb1c592f461c/CRIS2024-6188288.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/747e55b42fbe/CRIS2024-6188288.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/7d5c5a914b51/CRIS2024-6188288.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/a62b0936552d/CRIS2024-6188288.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/7abf4b84ab5a/CRIS2024-6188288.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/eb1c592f461c/CRIS2024-6188288.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/747e55b42fbe/CRIS2024-6188288.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/7d5c5a914b51/CRIS2024-6188288.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/a62b0936552d/CRIS2024-6188288.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b673/11524693/7abf4b84ab5a/CRIS2024-6188288.005.jpg

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本文引用的文献

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Middle segment pancreatectomy: Does it deserve a second chance? Report of three cases and review of the literature.中段胰腺切除术：它值得再次尝试吗？三例报告及文献综述。
Int J Surg Case Rep. 2023 Jun;107:108268. doi: 10.1016/j.ijscr.2023.108268. Epub 2023 May 4.
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[Embolization of splenic artery aneurysms: Treatment of choice. About a case and review of the literature].[脾动脉瘤栓塞术：首选治疗方法。附1例报告并文献复习]
Ann Cardiol Angeiol (Paris). 2022 Apr;71(2):108-111. doi: 10.1016/j.ancard.2020.11.002. Epub 2020 Nov 29.
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Elective Embolization of Splenic Artery Aneurysms with an Ethylene Vinyl Alcohol Copolymer Agent (Squid) and Detachable Coils.
使用乙烯-乙烯醇共聚物制剂（鱿鱼）和可脱卸弹簧圈对脾动脉瘤进行选择性栓塞术。
J Vasc Interv Radiol. 2020 Jul;31(7):1110-1117. doi: 10.1016/j.jvir.2019.12.797. Epub 2020 Apr 2.
4
The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms.血管外科学会内脏动脉瘤治疗临床实践指南。
J Vasc Surg. 2020 Jul;72(1S):3S-39S. doi: 10.1016/j.jvs.2020.01.039. Epub 2020 Mar 20.
5
Selective occlusion of splenic artery aneurysms with the coil packing technique: the impact of packing density on aneurysm reperfusion correlated between contrast-enhanced MR angiography and digital subtraction angiography.采用线圈填塞技术选择性栓塞脾动脉瘤：对比增强磁共振血管造影与数字减影血管造影之间填塞密度与动脉瘤再通的相关性。
Radiol Med. 2019 Jun;124(6):450-459. doi: 10.1007/s11547-019-00993-2. Epub 2019 Feb 2.
6
Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms in 100 Patients: Covered Stenting vs Transcatheter Embolization.100 例内脏动脉动脉瘤和假性动脉瘤的血管内治疗：覆膜支架与经导管栓塞治疗比较。
J Endovasc Ther. 2017 Oct;24(5):709-717. doi: 10.1177/1526602817717715. Epub 2017 Jun 29.
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Eur Radiol. 2015 Jul;25(7):2004-14. doi: 10.1007/s00330-015-3599-1. Epub 2015 Feb 19.
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