Kaman Lileswar, Sanyal Sudip, Menakuru Somasekhar R, Singh Rajinder
Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India.
Surg Today. 2004;34(2):181-4. doi: 10.1007/s00595-003-2665-5.
Chronic pancreatitis with a pseudoaneurysm is an established cause of hemosuccus pancreaticus. We herein describe a patient with chronic alcoholic pancreatitis associated with hemosuccus pancreaticus due to a pseudoaneurysm of the anterior superior pancreaticoduodenal artery rupturing in a pseudocyst of pancreas in the head region. Angiographic embolization was unsuccessful and therefore a laparotomy, ligation, and excision of the pseudoaneurysm with external drainage of pseudocyst were performed. Hemosuccus pancreaticus is a rare cause of upper gastrointestinal bleeding. Contrast-enhanced computed tomography and angiography is diagnostic in the majority of the cases. Surgery is the treatment of choice. Selective angiographic embolization may be helpful in tiding over the emergency until surgery can be performed.
伴有假性动脉瘤的慢性胰腺炎是胰管出血的既定病因。我们在此描述一名患有慢性酒精性胰腺炎并伴有胰管出血的患者，其病因是胰十二指肠上前动脉假性动脉瘤破裂进入胰头部的胰腺假性囊肿。血管造影栓塞术未成功，因此进行了剖腹手术、结扎并切除假性动脉瘤，同时对假性囊肿进行外引流。胰管出血是上消化道出血的罕见病因。大多数病例中，对比增强计算机断层扫描和血管造影具有诊断价值。手术是首选治疗方法。选择性血管造影栓塞术可能有助于在手术能够进行之前度过紧急情况。
