鈍的ひ損傷におけるひ温存術後に発症した遅発性ひ破裂の１例　ひ内仮性動脈りゅうの臨床的意義

DOI 被引用文献2件

書誌事項

タイトル別名
  • Clinical Significance of Ruptured Intrasplenic Pseudoaneurysm and Delayed Splenic Rupture Following Splenorrhaphy for Blunt Splenic Injury.
  • 脾内仮性動脈瘤の臨床的意義

抄録

We report a case of a delayed splenic rupture secondary to the rupture of intrasplenic pseudoaneurysm in a 22-year-old man. The patient was hospitalized for blunt splenic injury after sustaing an abdominal trauma in a motorcycle accident. He underwent surgery, in which the spleen was preserved by using an absorbable polyglycolic acid mesh wrap. Postoperative abdominal ultrasonography revealed an aechoic area within the spleen. Doppler velocimetry showed arterial blood flow, and an intrasplenic pseudoaneurysm was suspected. Subsequently a definitive diagnosis of intrasplenic pseudoaneurysm was made by abdominal MRI and abdominal angiography. On the 29th day, the patient suddenly developed abdominal pain and collapsed. Emergency laparotomy was performed and splenectomy was carried out. The diagnosis of ruptured intrasplenic pseudoaneurysm was made based on the intraoperative findings. In conclusion, we advocated that transcatheter arterial embolization should be performed immediately when an intrasplenic pseudoaneurysm is found after blunt splenic injury.

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詳細情報 詳細情報について

  • CRID
    1390282679345687808
  • NII論文ID
    130003626343
  • DOI
    10.3893/jjaam.9.595
  • ISSN
    18833772
    0915924X
    http://id.crossref.org/issn/0915924X
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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