胰头动静脉畸形——诊断与治疗的难点
Arteriovenous malformation of the pancreatic head--difficulties in diagnosis and treatment.
作者信息
Sharma M, Bedi M M S, Mahesh S, Gandhi M D, Antony R, Mukkada R J, Lekha V, Ramesh H
机构信息
Department of Surgical Gastroenterology and Radiology, Lakeshore Hospital and Research Center, Cochin, Kerala, India.
出版信息
Indian J Gastroenterol. 2011 Feb;30(1):46-8. doi: 10.1007/s12664-010-0070-8. Epub 2011 Feb 1.
A patient with pancreatic arteriovenous malformation who presented diagnostic and therapeutic difficulties is presented. The initial tests appeared to suggest inflammatory bowel disease, but the diagnosis was clinched by the finding of blood issuing from the ampulla of Vater. Repeated angiographic embolization did not obliterate the vascular malformation, and the symptoms eventually resolved after Whipple's pancreaticoduodenectomy.
本文介绍了一名患有胰腺动静脉畸形的患者，该患者在诊断和治疗方面存在困难。最初的检查似乎提示炎症性肠病，但通过发现来自 Vater 壶腹的出血确诊。反复的血管造影栓塞未能消除血管畸形，症状最终在 Whipple 胰十二指肠切除术后得到缓解。
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