由上肠系膜动脉引起的脾动脉动脉瘤:治疗策略

O. Facy, A. Naouri, B. Dugas, M. Kadji, P. Bernard, F. Gabrielle
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引用次数: 8

摘要

一位36岁的男性患者在脾动脉近端发现了一个3厘米的动脉瘤,起源于肠系膜上动脉。决定手术治疗。通过Kocher手法暴露肠系膜上动脉,可以安全控制肠系膜上动脉近端并结扎动脉瘤。脾脏保存是可能的,术后过程平稳。脾动脉解剖变异的动脉瘤定位改变了治疗策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anévrisme de l'artère splénique naissant de l'artère mésentérique supérieure : stratégie thérapeutique

A 36-year-old male patient presented with a 3 cm aneurysm of the proximal splenic artery, which originated from the superior mesenteric artery. A surgical management was decided. Exposure of the superior mesenteric artery by a Kocher manoeuvre allowed a safe control of the proximal superior mesenteric artery and the ligation of the aneurysm. Splenic preservation was possible and the postoperative course was uneventful. The aneurysm localization on an anatomical variation of the splenic artery has modified the therapeutic strategy.

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