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[肝动脉假性动脉瘤:慢性胰腺炎的罕见并发症]

[Pseudoaneurysm of the hepatic artery: rare complication of chronic pancreatitis].

作者信息

Marion-Audibert A-M, Mesnil A, Guillet M, Rode A, Mabrut J-Y, Garbit V, Lepoutre-Dujardin E, Pere-Verge D, Baulieux J, Souquet J-C

机构信息

Service d'hepatogastroenterologie, hôpital de la Croix-Rousse, 103, Grande rue de la Croix-Rousse, 69317 Lyon cedex 04, France.

出版信息

Gastroenterol Clin Biol. 2008 Jan;32(1 Pt. 1):74-8. doi: 10.1016/j.gcb.2007.12.002. Epub 2008 Mar 4.

Abstract

Bleeding from a pseudoaneurysm is a rare complication of chronic pancreatitis. We present two cases of ruptured pseudoaneurysms of the hepatic arteries. The first case involved a pancreatic pseudocyst that ruptured in the duodenum and the second resulted in an intrahepatic hematoma that compressed the bile tract causing secondary hemobilia. Angiographic embolization was the primary treatment in both cases, with surgery for the first patient and later radiological drainage in the second. The hemorrhage was controlled in both cases despite the severe prognosis and high mortality in these cases.

摘要

假性动脉瘤出血是慢性胰腺炎的一种罕见并发症。我们报告两例肝动脉假性动脉瘤破裂的病例。第一例涉及一个胰腺假性囊肿,该囊肿在十二指肠破裂,第二例导致肝内血肿,压迫胆道引起继发性胆道出血。血管造影栓塞是两例的主要治疗方法,第一例患者进行了手术,第二例随后进行了放射引流。尽管这些病例预后严重且死亡率高,但两例出血均得到了控制。

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