低级别脾损伤的迟发性假性动脉瘤破裂

C. Park, Sora Ahn, Wu-Seong Kang, S. Seo, S. Moon
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引用次数: 0

摘要

脾损伤的并发症不能手术处理。然而,低度脾损伤中迟发性假性动脉瘤破裂极为罕见。我报告的情况下,74岁的男子低级别脾损伤谁遭受延迟假性动脉瘤破裂。患者入院时为轻度脾损伤(根据美国创伤外科协会(AAST)的II级器官损伤量表[OIS]评分)。第6天胸部ct显示,脾脏出现约2.5 × 1.5 × 2.5 cm的假性动脉瘤;然而,医生当时没有发现这一点。第13天,胸部计算机断层扫描证实假性动脉瘤破裂。经导管动脉栓塞成功治疗破裂的假性动脉瘤。这个罕见的病例被报道描述整个过程从发生到破裂的脾假性动脉瘤在低级别脾损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Delayed Pseudoaneurysm Rupture in Low-Grade Splenic Injury
the complications of splenic injury not managed surgically. However, delayed pseudoaneurysm rupture in low-grade splenic injury is extremely rare. I report the case of a 74-year-old man with low-grade splenic injury who suffered delayed pseudoaneurysm rupture. The patient was admitted with low-grade splenic injury (grade II Organ Injury Scale [OIS] score according to the American Association for the Surgery of Trauma [AAST]). On chest computed tomography on day 6, a pseudoaneurysm approximately 2.5 × 1.5 × 2.5 cm in size appeared in the spleen; however, the physician missed this finding at that time. On day 13, chest computed tomography confirmed pseudoaneurysm rupture. The ruptured pseudoaneurysm was successfully treated with transcatheter arterial embolization. This rare case is reported to describe the entire process from occurrence to rupture of the splenic pseudoaneurysm in a low-grade splenic injury.
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