Tsang Leo Leung-chit, Lee Tze Yu, Chen Tai Yi, Cheng Yu Fan
Department of Diagnostic Radiology, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan.
Hepatogastroenterology. 2002 May-Jun;49(45):842-3.
Chronic pancreatitis is known to cause vascular complications including pseudoaneurysm of peripancreatic arteries that can lead to massive gastrointestinal bleeding. We report a 30-year-old man with splenic artery pseudoaneurysm formation secondary to chronic pancreatitis. The bleeding was successfully controlled by superselective microcoils embolization of the pseudoaneurysm with splenic preservation. The patient was discharged in 2 days with complete recovery. We consider superselective transcatheter embolization as one of the safest procedures and should be considered as a therapeutic option in the management of pseudoaneurysm caused by pancreatitis.
已知慢性胰腺炎会引发血管并发症,包括胰周动脉假性动脉瘤,可导致大量胃肠道出血。我们报告一例30岁男性,继发于慢性胰腺炎形成脾动脉假性动脉瘤。通过对假性动脉瘤进行超选择性微线圈栓塞并保留脾脏,成功控制了出血。患者在2天内出院,完全康复。我们认为超选择性经导管栓塞是最安全的手术之一,应被视为胰腺炎所致假性动脉瘤治疗的一种选择。