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慢性胰腺炎继发胃十二指肠动脉假性动脉瘤

Pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis.

作者信息

Volpi Mauricio A, Voliovici Eduardo, Pinato Fernando, Sciuto Fernando, Figoli Luis, Diamant Marcelo, Perrone Luis R

机构信息

Department of Vascular Surgery, Pasteur Hospital, Montevideo, Uruguay.

出版信息

Ann Vasc Surg. 2010 Nov;24(8):1136.e7-11. doi: 10.1016/j.avsg.2010.03.034.

Abstract

Although pseudoaneurysms are a rare complication of chronic pancreatitis, they are potentially serious both because of the events they can lead to and the diagnostic challenges they may pose. Historically, they used to be treated surgically, through ligation and/or resection; it was not until the last decade that scarcely invasive percutaneous endovascular procedures were introduced. This article reports the case of a patient with chronic pancreatitis presenting with severe upper digestive hemorrhage caused by the rupture of a pseudoaneurysm of the gastroduodenal artery. The patient was successfully treated using selective embolization.

摘要

尽管假性动脉瘤是慢性胰腺炎的一种罕见并发症,但因其可能导致的后果以及可能带来的诊断挑战,它们具有潜在的严重性。从历史上看,过去通常通过结扎和/或切除进行外科治疗;直到最近十年才引入了微创经皮血管内手术。本文报告了一例慢性胰腺炎患者,因胃十二指肠动脉假性动脉瘤破裂导致严重上消化道出血。该患者通过选择性栓塞成功治愈。

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