PDF(Pubmed)
Abstract：
Pseudoaneurysms are rare but potentially life-threatening complications that may occur after surgical procedures. This report presents the case of a 28-year-old woman who developed a pseudoaneurysm in the Left Inferior Phrenic Artery (LIPA) following a Laparoscopic Sleeve Gastrectomy (LSG). The complication manifested as severe gastrointestinal bleeding. Upper GI Endoscopy and multislice CT scan, repeated twice, failed to localize the bleeding source to treat it. Successful endovascular embolization using a Glue/Lipidol mixture was achieved despite difficulties in localizing the pseudoaneurysm, resulting in immediate symptomatic relief and avoiding surgical intervention. This case shows the importance of prompt identification and management of LIPA pseudoaneurysms following LSG, highlighting the importance of early diagnosis to prevent further hemodynamic deterioration and other adverse outcomes.
摘要：
假性动脉瘤是罕见的，但可能在外科手术后发生的危及生命的并发症。本报告介绍了一名28岁妇女在腹腔镜袖状胃切除术（LSG）后在左膈下动脉（LIPA）中出现假性动脉瘤的情况。并发症表现为严重消化道出血。上消化道内窥镜检查和多层CT扫描，重复两次，未能定位出血源来治疗它。尽管难以定位假性动脉瘤，但使用Glue/Lipidol混合物成功实现了血管内栓塞。导致症状立即缓解并避免手术干预。此病例显示了在LSG后迅速识别和处理LIPA假性动脉瘤的重要性，强调早期诊断对防止血流动力学进一步恶化和其他不良结局的重要性。
