Treatment of Pseudoaneurysm of the Ileocolic Artery with Microcoil Embolization in a Post-ileostomy Patient

以顯微線圈栓塞治療迴腸造口術後引發迴結腸動脈假性動脈瘤

江國賢(Kuo-Hsien Chiang) ； 張寶源(Pau-Yang Chang) ； 李世傑(Sea-Kiat Lee) ； 嚴寶勝(Pao-Sheng Yen) ； 凌昌明(Chang-Ming Ling) ； 李威興(Wei-Hsing Lee) ； 李超群(Chau-Chin Lee) ； 周紹賓(Shau-Bin Chou)

《Formosan Journal of Surgery》 38卷2期 (2005/04) Pp. 86-89

https://doi.org/10.29833/FJS.200504.0007

摘要

上腸繫膜動脈分枝上的假性動脈瘤並不常見。因為有出血致死的危險，假性動脈瘤的治療和診斷是很重要的。血管攝影可以用來評估腸道的出血，也可以用經導管的方式來做介入性治療。迴腸造口術後併發假性動脈瘤出血，作者目前未能在文獻上發現。我們報告一個迴腸造口術後併發迴結腸動脈假性動脈瘤，經導管顯微線圈栓塞治療成功的案例。

並列摘要

Pseudoaneurysms arising from branches of the superior mesenteric artery (SMA) are very rare. It is important to recognize and treat a pseudoaneurysm because of the risk of bleeding and even death. Angiography is the standard means for detecting intestinal and mesenteric hemorrhage. Endovascular treatment is a prompt and effective method for control of gastrointestinal hemorrhage. Status post-ileostomy with pseudoaneurysm formation and active bleeding has not been reported in the literature. We present the first case of ileocolic artery pseudoaneurysm post-ileostomy successfully treated by transcatheter arterial microcoil embolization.

並列關鍵字

ileocolic artery ； ileostomy ； pseudoaneurysm ； transarterial coil ； embolization