脾動脈瘤
WordNet
- a major thoroughfare that bears important traffic
- a blood vessel that carries blood from the heart to the body (同)arteria, arterial blood vessel
- a cardiovascular disease characterized by a saclike widening of an artery resulting from weakening of the artery wall (同)aneurism
- of or relating to the spleen (同)splenetic, lienal
PrepTutorEJDIC
- 動脈 / (道路・水路・鉄道などの)勘線,(通信の)主チャンネル
- 動脈瘤(りゅう)
- 脾臓(ひぞう)の,脾臓を冒す
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2018/01/31 09:56:40」(JST)
[Wiki en表示]
| Splenic artery |
|
The visceral surface of the spleen.
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|
Branches of the celiac artery. (Lienal artery is an old term for splenic artery, and is visible at center. The spleen is at center right. The stomach has been flipped out to reveal the splenic artery, so the greater curvature is at the top in this diagram.)
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| Details |
| Source |
celiac artery |
| Branches |
Pancreatic branches
Pancreatica magna
Left gastro-omental
Short gastric
Trabecular arteries
Posterior Gastric |
| Vein |
splenic vein |
| Supplies |
spleen |
| Identifiers |
| Latin |
arteria splenica, arteria lienalis |
| MeSH |
A07.231.114.814 |
Dorlands
/Elsevier |
a_61/12156021 |
| TA |
A12.2.12.040 |
| FMA |
14773 |
Anatomical terminology
[edit on Wikidata]
|
The splenic artery (in the past called the lienal artery) is the blood vessel that supplies oxygenated blood to the spleen. It branches from the celiac artery, and follows a course superior to the pancreas.
Contents
- 1 Structure
- 2 Clinical significance
- 3 Additional images
- 4 References
- 5 External links
Structure
The splenic artery gives off branches to the stomach and pancreas before reaching the spleen.
| Branch |
Description |
| branch to the pancreas |
Multiple branches serving the pancreas. The largest is the arteria pancreatica magna |
| short gastric |
upper part of greater curvature of the stomach and fundus of the stomach |
| left gastroepiploic |
middle of greater curvature of the stomach |
| posterior gastric |
posterior of stomach, gastric region superior to the splenic artery |
Note that the branches of the splenic artery do not reach all the way to the lower part of the greater curvature of the stomach. Instead, that region is supplied by the right gastroepiploic artery, a branch of the gastroduodenal artery. The two gastroepiploic arteries anastomose with each other at that point.
Relations
Along its course, it is accompanied by a similarly named vein, the splenic vein, which drains into the portal vein.
Clinical significance
Free fluid seen on ultrasound from a ruptured splenic artery aneurysm
[1]
Splenic artery aneurysms are rare[1], but still the third most common abdominal aneurysm, after aneurysms of the abdominal aorta and iliac arteries.[2][3] They may occur in pregnant women in the third trimester and rupture carries a maternal mortality of greater than 50% and a fetal mortality of 70% - 90%. Risk factors include smoking and hypertension.[4] For the treatment of patients who represent a high surgical risk, percutaneous endovascular treatment may be considered.[5]
Additional images
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3D-rendered computed tomography, showing splenic artery at upper right.
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The celiac artery and its branches.
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Transverse section of the human spleen, showing the distribution of the splenic artery and its branches.
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Section of the spleen, showing the termination of the small bloodvessels.
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Posterior abdominal wall, after removal of the peritoneum, showing kidneys, suprarenal capsules, and great vessels.
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Arteries and veins around the pancreas and spleen.
References
- ^ "UOTW #46 - Ultrasound of the Week". Ultrasound of the Week. 3 May 2015. Retrieved 27 May 2017.
- ^ Abbas MA, Stone WM, Fowl RJ, Gloviczki P, Oldenburg WA, Pairolero PC, Hallett JW, Bower TC, Panneton JM, Cherry KJ (2002)."Splenic arterya neurysms: two decades experience at Mayo clinic". Ann Vasc Surg. 16(4): 442-449. PMID 12089631
- ^ Jamsheer NS, Malik M (2001). "Ruptured splenic artery aneurysm". Ann Saudi Med. 21(5-6): pp. 340–341. Accessed July 30, 2005.
- ^ Pauletto R, Mieres J, Incarbone A, García A, Santaera O (2013). "Exclusión de aneurisma esplénico gigante con técnica de catéteres mother-in-child en paciente de alto riesgo quirúrgico". Revista Argentina de Cardioangiología Vol. 4(1): pp. 62–65, Buenos Aires (Argentina): Colegio Argentino de Cardioangiología Intervencionista. ISSN 2313-9307, retrieved 11 September 2013.
- ^ Suzuki K, Prates JC, DiDio LJ (1978)."Incidence and surgical importance of the posterior gastricartery", Ann. Surg. 187(2): 134-136.
- ^ Pauletto R, Mieres J, Incarbone A, García A, Santaera O (2013). "Exclusión de aneurisma esplénico gigante con técnica de catéteres mother-in-child en paciente de alto riesgo quirúrgico". Revista Argentina de Cardioangiología Vol. 4(1): pp. 62–65, Buenos Aires (Argentina): Colegio Argentino de Cardioangiología Intervencionista. ISSN 2313-9307, retrieved 11 September 2013.
External links
- Ruptured splenic artery aneurysm - a case report from Saudi Arabia.
- Splenic artery - medterms.com
- Gray's s278 - "The Spleen"
- Anatomy photo:38:05-0101 at the SUNY Downstate Medical Center - "Stomach, Spleen and Liver: The Splenic Artery"
- Anatomy image:8557 at the SUNY Downstate Medical Center
- celiactrunk at The Anatomy Lesson by Wesley Norman (Georgetown University)
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Arteries of the abdomen and pelvis
|
Abdominal
aorta |
| Celiac |
| Left gastric |
|
| Common hepatic |
- Proper hepatic
- Right gastric
- Gastroduodenal
- right gastroepiploic
- superior pancreaticoduodenal
- supraduodenal
|
| Splenic |
- Pancreatic branches
- Short gastrics
- Left gastroepiploic
|
|
| Superior mesenteric |
- Inferior pancreaticoduodenal
- Intestinal
- jejunal
- ileal
- arcades
- vasa recta
- Ileocolic
- colic
- anterior cecal
- posterior cecal
- ileal branch
- appendicular
- Right colic
- Middle colic
|
| Suprarenal |
|
| Renal |
- Inferior suprarenal
- Ureteral
|
| Gonadal |
- Testicular artery
- Ovarian artery
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| Lumbar |
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| Inferior mesenteric |
- Left colic
- Sigmoid
- Superior rectal
|
| Common iliac |
| Internal iliac |
| Posterior surface |
| Iliolumbar |
- Lumbar branch
- Iliac branch
|
|
| Anterior surface |
| Superior vesical artery |
- Umbilical artery
- Medial umbilical ligament
- to ductus deferens
|
| Obturator |
- Anterior branch
- Posterior branch
- Acetabular branch
- Cruciate anastomosis
- Corona mortis
|
| Middle rectal |
- Vaginal branch ♀ / Prostatic branch ♂
|
| Uterine ♀ |
- Arcuate
- Vaginal branches
- Ovarian branches
- Tubal branches
- Spiral
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- Vaginal ♀ / Inferior vesical ♂
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| Inferior gluteal |
- Accompanying of sciatic nerve
- Cruciate anastomosis
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| Internal pudendal |
- Inferior rectal
- Perineal
- posterior scrotal
- posterior labial
- Bulb of penis/vestibule
- Urethral
- Deep artery of the penis
- Deep artery of clitoris
- Dorsal of the penis
- Dorsal of the clitoris
|
|
|
| External iliac |
- Inferior epigastric
- Deep circumflex iliac
- Femoral
- see arteries of lower limbs
|
|
| Median sacral |
|
|
UpToDate Contents
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English Journal
- Endograft-assisted coil embolization of a celiac trunk aneurysm.
- Plaza-Martínez Á1, Genovés-Gascó B2, Cester-Ves D2, Gómez-Palonés FJ2.Author information 1Hospital Universitario Dr. Peset and Hospital NISA 9 de Octubre, Valencia, Spain. Electronic address: plaza_ang@gva.es.2Hospital Universitario Dr. Peset and Hospital NISA 9 de Octubre, Valencia, Spain.AbstractBACKGROUND: Celiac trunk aneurysms are rare but potential life-threatening lesions. Endovascular techniques are more often used for their treatment because of low rates of morbidity and mortality.
- Annals of vascular surgery.Ann Vasc Surg.2014 Jan;28(1):263.e1-5. doi: 10.1016/j.avsg.2013.02.022. Epub 2013 Sep 29.
- BACKGROUND: Celiac trunk aneurysms are rare but potential life-threatening lesions. Endovascular techniques are more often used for their treatment because of low rates of morbidity and mortality.CASE REPORT: We describe a modification of stent-assisted coil embolization technique more commonly used
- PMID 24084263
- Splenic artery thrombosis and rupture of left gastric artery aneurysm: an unusual cause of acute abdominal pain.
- Andriani A, Zullo A, Recine U, Barbara A, Minucci S, Cao P.
- Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology.Indian J Gastroenterol.2014 Jan;33(1):87-8. doi: 10.1007/s12664-012-0290-1.
- PMID 23292794
- Dissecting aneurysm of the hepatic artery caused by an isolated spontaneous celiac trunk dissection.
- Higashiyama H1, Ishii M2, Fujimoto K2, Oka Y2, Uehara T2, Kumada K3, Yamamoto M2.Author information 1Department of Surgery, Shinko Hospital, Kobe, Japan. Electronic address: hhiga007ke@shinkohp.or.jp.2Department of Surgery, Shinko Hospital, Kobe, Japan.3Department of Surgery, Professor Emeritus, Showa University, Tokyo, Japan.AbstractDissecting hepatic artery aneurysm caused by an isolated spontaneous celiac artery dissection is a life-threatening condition with only 5 cases reported previously. We report a successful resection and revascularization of all affected arteries with an inferior mesenteric vein graft in a 59-year-old asymptomatic man with a large dissecting common and proper hepatic artery aneurysm (diameter, 4.2 cm) due to a spontaneous dissection from the celiac trunk to the proximal splenic artery and the right hepatic artery. Our case suggests that intervention should not be delayed in cases of hepatic aneurysm and a long dissection extending to the proper hepatic artery because of the difficulty in restoring hepatic circulation and preventing rupture.
- Annals of vascular surgery.Ann Vasc Surg.2013 Dec 20. pii: S0890-5096(13)00686-9. doi: 10.1016/j.avsg.2013.11.006. [Epub ahead of print]
- Dissecting hepatic artery aneurysm caused by an isolated spontaneous celiac artery dissection is a life-threatening condition with only 5 cases reported previously. We report a successful resection and revascularization of all affected arteries with an inferior mesenteric vein graft in a 59-year-old
- PMID 24365084
Japanese Journal
- 内頚動脈海綿静脈洞瘻で発症し経動脈的コイル塞栓術後に出血性合併症を繰り返した血管型Ehlers-Danlos症候群の1例
- 浅井 克則,豊田 真吾,早川 航一 [他],藤本 康倫,岩本 文徳,若山 暁,金田 眞理,旗持 淳,吉峰 俊樹
- 脳神経血管内治療 7(2), 94-100, 2013
- 【目的】内頚動脈海綿静脈洞瘻で発症し経動脈的コイル塞栓術後に出血性合併症を繰り返した血管型Ehlers-Danlos症候群の一例を経験したので報告する．【症例】41歳女性．外傷の機転なく突然の左眼痛・眼球結膜充血が出現し，脳血管撮影の所見から左直接型内頚動脈海綿静脈洞瘻と診断した．経動脈的塞栓術により動静脈瘻は消失したが，術後に出血性イベントを繰り返し，皮膚生検で血管型Ehlers-Danlos症 …
- NAID 130003378060
- 上部消化管内視鏡後に腹腔内出血をきたした左胃大網動脈瘤の1例
- 木村 豊,山本 守敏,團野 克樹,巽 信之,金子 晃,久保 光彦,門田 卓士
- 日本消化器内視鏡学会雑誌 55(4), 1473-1477, 2013
- 症例は高血圧症で通院中の77歳女性．貧血精査の上部消化管内視鏡検査の後，意識消失・心肺停止をきたしたため心肺蘇生処置を行い緊急入院となった．腹部造影CT検査で左胃大網動脈瘤破裂による腹腔内出血を認め，腹部血管造影検査で左胃大網動脈瘤破裂と診断され，マイクロコイルで塞栓した．上部消化管内視鏡検査時の胃壁の圧排伸展が動脈瘤破裂に関与した可能性があると考えられた．
- NAID 130003375281
- Hemosuccus pancreaticusを呈した脾動脈瘤の1例
- 堤 豊,國枝 保幸,山内 純,中川 宗一,鈴木 晃子,工藤 俊彦,鈴木 岳
- Nippon Shokakibyo Gakkai Zasshi 110(7), 1296-1303, 2013
- 膵管を介したVater乳頭からの出血，hemosuccus pancreaticusは，消化管出血の一因だがまれである．75歳，男性，陳旧性心筋梗塞などで抗凝固療法を受けていた．突然の腹痛・黒色便で入院，軽度の貧血と肝胆道系酵素・血清アミラーゼの上昇を認め，2回目の上部消化管内視鏡検査でVater乳頭から持続性の出血を確認，腹部CTおよびMRI，血管造影，超音波内視鏡検査より脾動脈瘤が膵管に穿破し …
- NAID 130003364403
Related Links
- Are you looking for detailed information about a splenic artery aneurysm? Here we will discuss what it is, what may cause it, signs and symptoms, how it is diagnosed, and the treatment available.
- Home » livpanc Emory Pancreas Center » Diseases & Conditions » Benign Conditions of the Pancreas » Splenic Artery Aneurysms Splenic Artery Aneurysms Before reaching the spleen, the splenic artery branches off to supply ...
Related Pictures
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[★]
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- splenic artery aneurysm
[★]
- 英
- splenic artery aneurysm
[★]
- 関
- spleen