颈内动脉血泡样动脉瘤合并胃网膜动脉瘤共同破裂一例并文献复习

Joint rupture of internal carotid blood blister-like aneurysm and gastroepiploic artery aneurysm:a case report and literature review

颈内动脉血泡样动脉瘤(BBA)是一种主要起源于颈内动脉床旁上段非分叉处的特殊类型动脉瘤,其瘤壁菲薄,相对宽颈,临床少见。胃网膜动脉瘤(GAA)是胃网膜动脉发生瘤样扩张形成的,属于内脏动脉瘤的一种,即腹腔内脏器所属动脉及其分支发生的瘤样病变,临床同样少见。本科近期收治1例BBA合并GAA共同破裂病例,较为罕见,作者结合文献复习探讨BBA及GAA的发病机制及BBA的治疗方式。

Blood blister-like aneurysm(BBA)is a special type of aneurysm,mainly originating from the nonbranching segments of supraclinoid internal carotid artery.It is characterized as thin-walled and relatively wide-necked,and it is rare clinically.Gastroepiploic artery aneurysm(GAA),a neoplastic dilatation of the gastroepiploic artery,is one kind of visceral artery aneurysm.It is also rare in clinic.Recently,an extremely rare case of joint rupture of BBA and GAA was treated in our department.Combined with literature review,the pathogenesis of BBA and GAA and treatment method of BBA are mainly discussed.