由脏动脉伪动脉瘤破裂引起的耐火性胃肠道出血
Eri Nishikawa1, Tetsuya Yoshizaki1, Takashi Toyonaga2
1Gastroenterology, Kobe University Graduate School of Medicine, Japan.
Revista espanola de enfermedades digestivas
|November 12, 2024
概括
一个罕见的胃侵蚀到动脉的病例导致严重出血. 动脉伪动脉瘤 (SAP) 的及时诊断和内血管卷积对于患者的生存至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 胃潰瘍可能導致嚴重出血.
- 动脉伪动脉瘤 (SAP) 是一种罕见但危及生命的并发症.
研究的目的:
- 报告一种罕见的胃引起的动脉伪动脉瘤 (SAP) 病例.
- 要突出诊断和管理这一条件的挑战.
主要方法:
- 消化管胃管透镜和对比增强计算机断层扫描 (CECT) 用于诊断.
- 通过干预放射学进行内镜血静止和随后的SAP线圈栓塞.
主要成果:
- 最初的内镜血液静止无法预防复发的大型血.
- 通过CET检测出一个以前未被检测到的脏动脉伪动脉瘤 (SAP).
- 线圈栓塞成功治疗了SAP,导致患者康复.
结论:
- 胃可以侵蚀到相邻的动脉中,形成伪动脉瘤.
- 早期识别和结合内镜和内血管方法对于管理与胃相关的SAPs至关重要.
- 血管内干预是防止SAPs再次出血的关键治疗方法.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46
Esophageal Varices-I: Introduction
74
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
74
Esophageal Perforation-I: Introduction
68
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
68
Esophageal Perforation-II: Clinical Manifestations and Management
44
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
44
Blood Supply to the Digestive System
930
Splanchnic circulation refers to the network of blood vessels that supply and drain blood from the abdominal organs involved in digestion, including the stomach, liver, pancreas, intestines, and spleen. This circulation delivers essential nutrients and oxygen while removing waste products from these organs.
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
Blood Supply to the Digestive System: The splanchnic circulation involves three main arteries: the celiac artery (also known as the celiac trunk) and the superior and inferior mesenteric...
930
Inflammatory Bowel Disease I: Ulcerative Colitis
143
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
143


