DuBois John C, Rohr Aaron M, Kozlowski Ian T, S Collins Zachary
University of Kansas School of Medicine, 3901 Rainbow Boulevard, Kansas City, KS, 66103, USA.
The University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66103, USA.
CVIR Endovasc. 2025 May 3;8(1):37. doi: 10.1186/s42155-025-00553-y.
This case describes the endovascular treatment of a 55-year old female with a ruptured portal vein pseudoaneurysm secondary to a large stomach ulcer resulting in massive active hemorrhage into the adjacent stomach. This patient presented with persistent hypotension secondary to chronic GI blood loss and simultaneous septic shock. After an abrupt drop in blood pressure, the patient arrived in the angiography suite where the ruptured pseudoaneurysm was apparent on portal venogram. Emergent stent assisted coil embolization was performed to stabilize the patient and treat the portal vein pseudoaneurysm. To our knowledge, this case presents the only portal vein pseudoaneurysm secondary to a gastric ulcer.Level of Evidence Level 4, Case-report.
本病例描述了一名55岁女性门静脉假性动脉瘤破裂的血管内治疗情况，该假性动脉瘤继发于巨大胃溃疡，导致大量活动性出血进入邻近胃部。该患者因慢性胃肠道失血继发持续性低血压，并同时伴有感染性休克。在血压急剧下降后，患者被送至血管造影室，门静脉造影显示破裂的假性动脉瘤。随即进行了急诊支架辅助弹簧圈栓塞术以稳定患者病情并治疗门静脉假性动脉瘤。据我们所知，本病例是唯一一例继发于胃溃疡的门静脉假性动脉瘤。证据级别：4级，病例报告。
