PDF(Pubmed)
Abstract：
Splenic artery pseudoaneurysm is a rare and potentially fatal condition. In the present report, we describe the case of a 50-year-old woman with chronic pancreatitis who presented with worsening abdominal pain. Computed tomography demonstrated a 3.5-cm splenic artery pseudoaneurysm of the mid-splenic artery. The patient underwent attempted endovascular repair of the pseudoaneurysm that was unsuccessful. Open conversion revealed an inaccessible splenic artery due to chronic pancreatitis that resulted in dense retroperitoneal fibrosis, and repair was achieved via direct thrombin injection under ultrasound guidance of the pseudoaneurysm and splenectomy. The patient recovered well, and computed tomography at 3 days postoperatively revealed complete thrombosis of the pseudoaneurysm.
摘要：
脾动脉假性动脉瘤是一种罕见且可能致命的疾病。在本报告中，我们描述了1例50岁女性慢性胰腺炎患者出现腹痛恶化的病例.计算机断层扫描显示脾动脉中段有3.5厘米的脾动脉假性动脉瘤。该患者接受了假性动脉瘤的血管内修复术，但未成功。开放转换显示由于慢性胰腺炎导致脾动脉无法进入，导致腹膜后致密纤维化，在假性动脉瘤和脾切除术的超声引导下，通过直接注射凝血酶实现修复。病人恢复得很好,术后3天的计算机断层扫描显示假性动脉瘤完全血栓形成。
