肝动脉动脉瘤的自发破裂:一个病例报告,尽管很难
Vahe Zograbyan1, Andrea Hladik1, Lysdie Espinoza1
1Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California.
Clinical practice and cases in emergency medicine
|November 5, 2025
概括
破裂的肝动脉动脉瘤很罕见,但致命. 早期诊断和内血管修复,如线圈栓塞,对于患者的生存和改善结果至关重要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 破裂动脉瘤的死亡率很高,需要早期诊断.
- 肝动脉动脉瘤通常无症状,检测迟到,破裂率高,死亡率高.
- 早期识别状动脉动脉瘤可以提高患者的康复几率.
研究的目的:
- 为了强调破裂的肝动脉动脉瘤的关键性质.
- 强调早期诊断和积极干预的重要性.
- 为了展示肝动脉动脉瘤破裂的成功内血管管理.
主要方法:
- 一个病例报告的57岁的女性自发性肝动脉动脉瘤破裂.
- 诊断通过计算机断层扫描血管学证实,揭示了囊性动脉瘤和血.
- 立即治疗涉及成功的线圈栓塞.
主要成果:
- 患者呈现出普遍的胸部和腹部疼痛.
- 计算机断层扫描血管学检测出左肝动脉动脉瘤破裂,有血.
- 成功进行了线圈栓塞,患者在术后保持稳定.
结论:
- 在患有腹痛和血液动力学不稳定的患者中,考虑肝脏和关动脉动脉瘤有助于早期识别.
- 内血管修复是肝动脉动脉瘤破裂的首选治疗方法,而不是开放式手术.
- 及时诊断和内血管干预显著改善了患者的治疗结果.
相关概念视频
Esophageal Varices-I: Introduction
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...
Aneurysm I: Introduction
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...


