위 점막하 종양 양상으로 발현한 비장동맥 동맥류 1예
A Case of Splenic Artery Aneurysm Mimicking Gastric Submucosal Tumor
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초록
비장동맥의 동맥류는 희귀한 혈관질환이다. 대부분 무증상이나 파열되면 치명적이며 사망률이 70%에 이른다. 증상이 있는 경우뿐만 아니라 증상이 없더라도 크기가 2 cm 이상이거나 임신부에서는 치료를 해야 한다. 저자들은 비특이적인 상복부 불편감으로 내원한 74세 여자에서 상부 위장관 내시경 검사를 시행하여 점막하 종양 형태의 융기성 병변을 발견하였고, 복부 전산화 단층촬영을 통해 비장 동맥의 동맥류로 진단하여 수술적 치료를 시행한 1예를 경험하여 문헌고찰과 함께 보고한다.
Abstract
Splenic artery aneurysm is an uncommon clinical entity. Most of these aneurysms are asymptomatic, but if an aneurysm ruptures, it can be fatal and its mortality rate reaches 70 percent. Regardless of the presence of symptoms, if the size of the asymptomatic aneurysm is larger than 2 cm in diameter or the patient is pregnant, then the anurysm should be treated. A 74-year-old female visited our hospital complaining of nonspecific epigastric discomfort. Endoscopic examination of the stomach revealed a submucosal tumor like protruding mass in the body and it was finally diagnosed as a splenic artery aneurysm by computed tomography. We report here on a case of a splenic artery aneurysm that mimicked a submucosal tumor, and this aneurysm was treated with surgery.
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