在 laparoscopic 尾切除术后的下部上胃动脉伪动脉瘤
Justin Faulkner1, Seth Beeson2, Sarah Fox1
1New Hanover Regional Medical Center, Wilmington, NC, USA.
The American surgeon
|June 22, 2023
概括
在腹腔镜手术后的一名患者身上出现了一种罕见的下层腹膜动脉伪动脉瘤. 及时的诊断和手术干预导致了成功的康复,强调了小心翼翼的三角管放置.
科学领域:
- 血管外科 血管外科
- 腹壁的解剖学 腹壁的解剖学
- 最少侵入性手术的方法
背景情况:
- 下部上胃动脉伪动脉瘤是非常罕见的血管并发症.
- 它们可能发生在手术干预后,特别是腹腔镜手术后.
- 腹壁血管损伤是三插入过程中已知的风险.
研究的目的:
- 报告一个罕见的下部上胃动脉伪动脉瘤在腹腔镜尾切除术后的病例.
- 突出解剖学知识和手术技术在预防这种并发症方面的重要性.
- 强调计算机断层扫描在识别这些伪动脉瘤的诊断实用性.
主要方法:
- 病例介绍:一个68岁的男性在拉皮镜检查后出现右上象限凸.
- 使用计算机断层扫描与静脉注射对比的诊断成像.
- 手术管理包括开放式探索,血栓疏散和动脉静脉连结.
主要成果:
- 在右下侧上胃动脉中发现了一种4.2厘米的伪动脉瘤与外周血栓形成.
- 患者经历了成功的手术修复.
- 患者在术后恢复良好,没有任何并发症.
结论:
- 下部上胃动脉伪动脉瘤是腹腔镜手术后的罕见但显著的并发症.
- 对腹壁血管解剖学的彻底理解对于安全的三角管安置至关重要.
- 这一案例强调了在微创手术期间对血管损伤的警和适当管理的必要性.
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