Tazawa K, Shimoda M, Nagata T, Sasahara K, Bando T, Ansai Y, Shimizu T, Arai H, Sakamoto T, Fujimaki M, Tsukada K, Tazawa K
Second Department of Surgery, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Japan.
Surg Today. 1999;29(1):76-9. doi: 10.1007/BF02482975.
We herein report on a 64-year-old Japanese female patient who presented with a splenic artery aneurysm (SAA) associated with systemic lupus erythematosus (SLE). The saccular aneurysm, which measured 3 cm in diameter, was located in the proximal third of the splenic artery from the pancreas with a portosystemic shunt. A double ligation of the splenic artery (the distal and proximal sides of the aneurysm) was performed without a splenectomy. The postoperative course showed acute pancreatitis without either splenic infarction or portal thrombus. To our knowledge, the closed association of SLE with an aneurysmal dilatation of the splenic artery has not been previously reported. Both the pathogenesis and the management of SAA associated with SLE are discussed following the presentation of this case. This is the first reported case of SAA associated with SLE.
我们在此报告一名64岁的日本女性患者，她患有与系统性红斑狼疮（SLE）相关的脾动脉瘤（SAA）。这个囊状动脉瘤直径为3厘米，位于脾动脉从胰腺发出后的近端三分之一处，并伴有门体分流。在未进行脾切除术的情况下对脾动脉（动脉瘤的远端和近端）进行了双重结扎。术后病程显示为急性胰腺炎，未出现脾梗死或门静脉血栓形成。据我们所知，SLE与脾动脉动脉瘤样扩张的密切关联此前尚未见报道。在介绍该病例后，我们讨论了与SLE相关的SAA的发病机制和治疗方法。这是首例报道的与SLE相关的SAA病例。
