Sohn Young Hae, Joo Young Eun, Park Chang Hwan, Lee Wan Sik, Choi Sung Kyu, Rew Jong Sun, Kim Sei Jong
Department of Internal Medicine, Chonnam National University Medical School, 8 Hak-dong, Dong-gu, Gwangju 501-757, Korea.
Korean J Gastroenterol. 2003 Nov;42(5):436-9.
Arterial pseudoaneurysm is rare but potentially a catastrophic complication of pancreatitis because it can cause massive gastrointestinal bleeding. Since surgical treatment of arterial pseudoaneurysm has a high mortality, percutaneous angiographic embolization of bleeding artery has recently been advocated as the alternative therapy. Acute hemorrhage into the peritoneal cavity or pseudocyst complicating chronic pancreatitis was frequently reported. However, multiple pseudoaneurysmal hemorrhage without pseudocyst complicating acute pancreatitis are extremely rare. Here, we present a case of multiple pseudoaneurysmal hemorrhage secondary to acute pancreatitis, which were managed successfully by percutaneous angiographic embolization.
动脉假性动脉瘤虽罕见，但却是胰腺炎潜在的灾难性并发症，因为它可导致大量胃肠道出血。由于动脉假性动脉瘤的外科治疗死亡率很高，近来有人主张采用经皮血管造影栓塞出血动脉作为替代疗法。急性胰腺炎并发腹腔内出血或假性囊肿的情况屡有报道。然而，急性胰腺炎并发无假性囊肿的多发性假性动脉瘤出血极为罕见。在此，我们报告一例急性胰腺炎继发多发性假性动脉瘤出血的病例，该病例经皮血管造影栓塞治疗成功。
