胰十二指肠下动脉感染性动脉瘤
Infective aneurysm of the inferior pancreaticoduodenal artery.
作者信息
Williamson J M L, Cook J L, Jackson J E, Hocken D B
机构信息
Great Western Hospital, Swindon, UK.
出版信息
Ann R Coll Surg Engl. 2011 Sep;93(6):e87-8. doi: 10.1308/147870811X590991.
INTRODUCTION
Pancreaticoduodenal (PD) artery aneurysms account for less than 2% of all splanchnic aneurysms. A mycotic aetiology is extremely uncommon.
INTRODUCTION
Two weeks following an episode of sepsis related to a prostatic biopsy, a 59-year-old man presented with abdominal pain and anaemia. Ultrasonography and computed tomography revealed an inferior PD artery pseudoaneurysm with an associated mesenteric root haematoma. This was treated successfully by transcatheter embolisation.
INTRODUCTION
Infective pseudoaneurysms of the PD artery are rare but can be associated with rupture into the gastrointestinal tract or retroperitoneum. Transcatheter embolisation remains the most effective therapy as it is associated with low morbidity and mortality rates and recurrence is very unlikely provided the aneurysm is completely excluded from the circulation.
引言
胰十二指肠（PD）动脉瘤占所有内脏动脉瘤的比例不到2%。霉菌性病因极为罕见。
引言
在与前列腺活检相关的败血症发作两周后，一名59岁男性出现腹痛和贫血。超声检查和计算机断层扫描显示胰十二指肠下动脉假性动脉瘤伴肠系膜根部血肿。通过经导管栓塞成功治疗。
引言
PD动脉感染性假性动脉瘤很少见，但可能伴有破裂进入胃肠道或腹膜后。经导管栓塞仍然是最有效的治疗方法，因为它的发病率和死亡率较低，并且只要动脉瘤完全从循环中排除，复发的可能性极小。
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