Akutsu Noriyuki, Takagi Hideyasu, Yamamoto Hiroyuki, Sasaki Shigeru, Kimura Yasutoshi, Hirata Kouichi, Adachi Yasushi, Endo Takao, Kato Yasuo, Imai Kohzoh, Shinomura Yasuhisa
First Department of Internal Medicine, Sapporo Medical University.
Nihon Shokakibyo Gakkai Zasshi. 2008 Nov;105(11):1648-55.
A 72-year-old man was admitted to our hospital with refractory gastrointestinal bleeding. He received extrahepatic bile duct resection, hepaticojejunostomy and pancreatojejunostomy for bile duct stenosis and pancreatic pseudocyst 6 approximately 8years ago. We revealed that the cause of shock state was bleeding from varices of an interposed jejunum and portal vein obstruction as a complication of these operations. He received transileocolic vein obliteration with coils. Refractory gastrointestinal bleeding stopped. We concluded that this obliteration was effective and useful treatment for this complication.
一名72岁男性因难治性胃肠道出血入院。大约8年前，他因胆管狭窄和胰腺假性囊肿接受了肝外胆管切除术、肝空肠吻合术和胰空肠吻合术。我们发现休克状态的原因是这些手术的并发症——置入空肠静脉曲张出血和门静脉阻塞。他接受了经回结肠静脉弹簧圈栓塞术。难治性胃肠道出血停止。我们得出结论，这种栓塞术是治疗该并发症的有效且有用的方法。
