Ward E V M, Buckley O, Doody O, Govender P, Conlon K, Torreggiani W C
Department of Radiology, The Adelaide and Meath Hospital, Tallaght, Ireland.
Digestion. 2007;76(3-4):188-91. doi: 10.1159/000112644. Epub 2007 Dec 21.
Peripancreatic pseudoaneurysm formation is a recognized complication of pancreatitis. When associated with an acute episode of pancreatitis, surgical treatment is often difficult due to the inflammatory process that surrounds the pseudoaneurysm. In the stable patient, transcatheter embolization is the treatment of choice of this complication. However, this is not always technically feasible, as the aneurysm may be supplied by small inaccessible branch vessels. Recently, percutaneous thrombin injection has been described as a possible alternative for pseudoaneurysms. This is generally performed under computed tomography guidance in stable patients with non-ruptured pseudoaneurysms. We describe an acutely ruptured peripancreatic pseudoaneurysm in a critically ill patient, in whom percutaneous thrombin injection under computed tomography guidance resulted in immediate stabilization and cure of the pseudoaneurysm.
胰周假性动脉瘤形成是胰腺炎公认的并发症。当与胰腺炎急性发作相关时，由于假性动脉瘤周围的炎症过程，手术治疗往往很困难。对于病情稳定的患者，经导管栓塞是该并发症的首选治疗方法。然而，这在技术上并不总是可行的，因为动脉瘤可能由难以触及的小分支血管供血。最近，经皮注射凝血酶已被描述为假性动脉瘤的一种可能替代方法。这通常在计算机断层扫描引导下对假性动脉瘤未破裂的稳定患者进行。我们描述了一名危重症患者发生的急性破裂胰周假性动脉瘤，在计算机断层扫描引导下对其进行经皮注射凝血酶后，假性动脉瘤立即得到稳定并治愈。
