PDF(Pubmed)
Abstract：
Gastroepiploic artery aneurysms and pseudoaneurysms pose diagnostic challenges due to their rarity and overlapping radiological features. This case report presents an 82-year-old woman with sudden-onset severe abdominal pain with computed tomography revealing hemoperitoneum and saccular dilations adjacent to the stomach\'s greater curvature, suggestive of vascular pathology. Selective abdominal arteriography confirmed three saccular dilatations in the gastroepiploic artery, which were managed successfully with coil embolization. The discussion emphasizes the importance of accurate diagnosis, distinguishing between aneurysms and pseudoaneurysms, and prompt intervention to mitigate the risk of hemorrhagic complications of either of them. The case underscores the significance of endovascular management in such rare and critical scenarios.
摘要：
胃表皮动脉瘤和假性动脉瘤由于其稀有性和重叠的放射学特征而提出了诊断挑战。该病例报告介绍了一名82岁的女性，患有突然发作的严重腹痛，计算机断层扫描显示腹膜积血和靠近胃较大曲率的囊状扩张。提示血管病理。选择性腹部动脉造影证实了胃表皮动脉的三个囊状扩张，用线圈栓塞治疗成功。讨论强调了准确诊断的重要性,区分动脉瘤和假性动脉瘤，并及时干预，以减轻其中任何一种出血性并发症的风险。该案例强调了在这种罕见和关键情况下血管内管理的重要性。
