Abstract
For the past 20 years, we experienced 6 cases of ruptured abdominal visceral aneurysms. These included 3 cases of middle colic, 1 of splenic, 1 of right hepatic and 1 of submucosal gastric aneurysm. The 3 cases of middle colic aneurysms had abdominal pain with shock caused by intra-abdominal bleeding, and underwent emergency operation. The other 3 cases had gastrointestinal bleeding. Of the 3 cases, splenic aneurysm ruptured into the pancreatic duct, right hepatic aneurysm ruptured into the bile duct and submucosal gastric aneurysm ruptured into the stomach, their bleeding points being detected by arteriography preoperatively. All 6 cases were treated surgically without significant postoperatie complications.
In our country, there were 117 caes of ruptured abdominal visceral aneurysms for past 20 years. They included 37 cases of splenic, 29 of hepatic, 15 of submucosal small intestinal, 10 of pancreaticoduodenal, 8 of superior mesenteric, 7 of gastric, 7 of colic, 2 of celiac and 2 of interior mesenteric aneurysms. Of the 117 cases, 50 cases had intra-abdominal bleeding and 63 cases had gastrointestinal bleeding. Mortality rate of them was 28.3%.
