Abdominal Pain Resulting from Acute Thrombosis of a Superior Mesenteric Artery Mycotic Aneurysm-A Case Report

急性上腸系膜細菌性動脈瘤栓塞引發腹痛－病例報告

黃維健(Wai-Kin Wong) ； 李君儀(Jiun-Yi Li) ； 王柏川(Po-Chuan Wang)

《Acta Cardiologica Sinica》 22卷2期 (2006/06) Pp. 107-111

摘要

一位三十五歲男性因為腹痛三天而住院，身體檢查上發現在左上腹有一個會跳動的腫瘤，病患沒有腹膜炎的病症。腹部電腦斷層檢查發現上腸系膜動脈前端有動脈瘤形成，同時動脈瘤內有血栓。開刀中發現腸子完整並無穿孔或壞疽，動脈瘤以人工血管來取代。病理上發現動脈瘤有明顯發炎反應同時判斷為細菌性動脈瘤，動脈瘤培養沒有長菌。病患之腹痛應是向於上腸系膜細菌性動脈瘤栓塞引發腸子缺氧所造成的。

關鍵字

上腸系膜動脈 ； 細菌性動脈瘤 ； 腸系膜缺氧

並列摘要

A 35-year-old man was admitted complaining of periumbilical pain for 3 days. On physical examination, a pulsatile mass was palpable in the left upper abdomen. There were no significant peritoneal signs. Abdominal CT revealed an aneurysm containing a thrombus in the proximal superior mesenteric artery. At surgery, there was no intestinal perforation or gangrene. The aneurysm was replaced with a synthetic prosthesis. Pathology examination showed inflammation compatible with a mycotic aneurysm, although cultures of the resected aneurysm had no growth. We think the patient's pain was most likely caused by bowel ischemia secondary to acute thrombosis of the superior mesentery artery mycotic aneurysm.

並列關鍵字

Superior mesenteric artery ； Mycotic aneurysm ； Mesenteric ischemia