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[医源性腹腔-肠系膜动静脉瘘;参考一例胃切除术后动静脉瘘新病例]

[Iatrogenic celiac-mesenteric arteriovenous fistulae; with reference to a new case of postgastrectomy arteriovenous fistula].

作者信息

Geremia U, Nicodemo P, Grazia M, Caprioli F

出版信息

Chir Ital. 1985 Feb;37(1):57-71.

PMID:3995665
Abstract

The authors report a rare case of iatrogenous arteriovenous fistula between left gastric artery and vein, arising after gastric resection. The observation caused a reviewing of the literature (19 cases published, of which only one between left gastric artery and vein) and some remarks about the physiopathology, pathological anatomy, clinics and treatment of such rare diseases. The authors, in their conclusions, emphasize that such arteriovenous fistulas can remain asymptomatic for a long time; they, moreover, with evident effects on the liver physiology, can progressively cause a serious state of portal hypertension, in the genesis of which the time-factor plays a primary role.

摘要

作者报告了一例罕见的医源性胃左动脉与静脉之间的动静脉瘘,该瘘在胃切除术后出现。该病例促使作者回顾了相关文献(已发表19例,其中胃左动脉与静脉之间的仅有1例),并对这类罕见疾病的生理病理学、病理解剖学、临床症状及治疗发表了一些看法。作者在结论中强调,此类动静脉瘘可能长期无症状;此外,它们对肝脏生理有明显影响,可逐渐导致严重的门静脉高压状态,在其发生过程中时间因素起主要作用。

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