外伤后脾脏的假性动脉瘤和动静脉瘘:CT血管造影诊断和经导管栓塞术治疗  

Posttraumatic splenic pseudoaneurysm and arteriovenous fistula:Diagnosis by computed tomography angiography and treatment by transcatheter embolization

作　　者：Oguz B. Cil B. Ekinci S. 刘凯 

机构地区：[1]Department Radiology, Hacettepe University, Faculty of Medicine, Ankara 06100, Turkey

出　　处：《世界核心医学期刊文摘（儿科学分册）》2006年第6期37-37,共1页

摘　　要：The current treatment of splenic injury in children is conservative. The common concern with nonoperative management of splenic injury involves increased risk of posttraumatic splenic complications. Computed tomography angiography is a noninvasive and useful technique for the detection of the vascular abnormalities in conservatively managed splenic injuries. We present a case of posttraumatic splenic pseudoaneurysm and arteriovenous fistula (AVF) in a 12-year-old boy, which were prediagnosed by color Doppler ultrasound and consecutively shown by computed tomography angiography. The treatment of splenic AVF is indicated to avoid portal hypertension, high output cardiac failure, and related complications. To preserve the splenic immune function and to avoid the risk of surgery and splenectomy complications, splenic pseudoaneurysm and AVF were successfully occluded by transcatheter embolization.The current treatment of splenic injury in children is conservative. The common concern with nonoperative management of splenic injury involves increased risk of posttraumatic splenic complications. Computed tomography angiography is a noninvasive and useful technique for the detection of the vascular abnormalities in conservatively splenic injuries. We present a case of posttraumatic splenic pseudoaneurysm and arteriovenous fistula （AVF） in a 12 -year-old boy, which were prediagnosed by color Doppler ultrasound and consecutively shown by computed tomography angiography. The treatment of splenic AVF is indicated to avoid portal hypertension, high output cardiac failure, and related complications. To preserve the splenic immune function and to avoid the risk of surgery and splenectomy complications, splenic pseudoaneurysm and AVF were successfully occluded by transcatheter embolization.

关 键 词：CT血管造影术 经导管栓塞术 栓塞术治疗 假性动脉瘤 脾脏创伤 动静脉瘘 血管造影诊断 外伤后 彩色多普勒超声检查 保守治疗 

分 类 号：R739.41[医药卫生—肿瘤] R737.330.5[医药卫生—临床医学]