Batt M, Teboul J, Gard C, Le Bas P
J Chir (Paris). 1984 Feb;121(2):105-17.
Aneurysm of the celiac trunk is the rarest lesion of this type reported in the digestive arterial system. Two cases are reported and the 78 lesions of a similar nature documented in the literature reviewed. The etiology at the present time is mainly atheroma in the over 50' s and dysplasia of the elastic tissue in young subjects. Clinical diagnosis is difficult since symptomatic forms are the cause of errors and latent forms frequent (41 p. 100 of cases). Preoperative angiography must be a complete investigation and allows study of splanchnic vascularization and the presence of collaterals. When there are no contraindications, surgical treatment can prevent progression to rupture. After resection or reduction of the aneurysm revascularization may be envisaged but is not essential: --in the first case reported the failure of revascularization proved its inutility, --whereas failure in the second case led to severe hepatic and gallbladder complications. Successful results have been obtained in 90 p. 100 of 41 cases operated upon since the initial surgical treatment performed by Shumaker in 1958 [47].
腹腔干动脉瘤是消化系统动脉系统中报道的此类最罕见的病变。本文报告了2例病例，并回顾了文献中记载的78例类似性质的病变。目前病因主要是50岁以上人群的动脉粥样硬化以及年轻患者的弹性组织发育异常。临床诊断困难，因为有症状的病例会导致误诊，而无症状的病例很常见（占病例的41%，即100例中有41例）。术前血管造影必须全面，以便研究内脏血管分布及侧支循环情况。在没有禁忌证的情况下，手术治疗可防止动脉瘤破裂。切除或缩小动脉瘤后可考虑进行血管重建，但并非必需：——在报告的第一例病例中，血管重建失败证明其无用；——而第二例病例中的失败则导致了严重的肝脏和胆囊并发症。自1958年舒梅克首次进行手术治疗以来，41例接受手术的病例中，90%（即100例中有90例）取得了成功。
