创伤后胰腺内主动脉脾动脉瘘致门静脉高压

Posttraumatic intrapancreatic aortosplenic fistula causing portal hypertension.

作者信息

Estrada Oscar, Mestres Carlos-A, López-Boado Miguel-A, Salmerón Juan A, Visa José, García-Valdecasas Juan-Carlos

机构信息

Department of General Surgery, Hospital Clinic, University of Barcelona, Barcelona, Spain.

出版信息

Asian Cardiovasc Thorac Ann. 2003 Sep;11(3):272-4. doi: 10.1177/021849230301100322.

DOI:10.1177/021849230301100322

PMID:14514565

Abstract

Arterioportal fistulas are uncommon. The case of a patient with massive uncontrollable esophageal variceal bleeding is presented. Reversible portal hypertension was caused by a posttraumatic giant intrapancreatic aortosplenic fistula. Percutaneous closure was unsuccessful, and pancreatectomy was performed to control the bleeding. The case is discussed and the literature on this exceptional cause of portal hypertension is reviewed.

摘要

动脉门静脉瘘并不常见。本文介绍了一例患有大量难以控制的食管静脉曲张出血患者的病例。创伤后巨大的胰内主动脉脾瘘导致了可逆性门静脉高压。经皮封堵术未成功，遂行胰腺切除术以控制出血。本文对该病例进行了讨论，并回顾了关于门静脉高压这一特殊病因的文献。