Gebauer A
Rofo. 1984 Nov;141(5):529-33. doi: 10.1055/s-2008-1053184.
This is a report about 4 patients with aneurysms of the superior mesenteric artery of arteriosclerotic, mycotic and probably congenital etiology together with a review of the literature as to the etiology, diagnostic possibilities and therapy. Arteriography is the method of choice even though a diagnosis may be possible by sonography or CT in special cases. Even though an aneurysm of the superior mesenteric artery is rare, it has to be considered in the differential diagnosis of persisting abdominal problems of unknown origin. This is especially true for patients with a predisposing history such as previous or existing endocarditis, sepsis, arteriosclerosis and hypertension. Because of the possibility of rupture followed by life threatening bleeding an adequate diagnostic step such as arteriography has to be considered finally.
本文报告了4例肠系膜上动脉动脉瘤患者，其病因分别为动脉硬化、霉菌性以及可能的先天性病因，并对病因、诊断方法及治疗进行了文献综述。尽管在特殊情况下超声或CT也可能做出诊断，但动脉造影仍是首选方法。肠系膜上动脉动脉瘤虽罕见，但在不明原因的持续性腹部问题鉴别诊断中仍需考虑。对于有易患病史如既往或现存心内膜炎、败血症、动脉硬化和高血压的患者尤其如此。由于动脉瘤可能破裂并导致危及生命的出血，最终必须考虑采取动脉造影等适当的诊断措施。
