Department of Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands.
J Vasc Surg. 2012 Apr;55(4):1145-9. doi: 10.1016/j.jvs.2011.11.136. Epub 2012 Feb 25.
Hemosuccus pancreaticus is a rare cause of gastrointestinal bleeding from the pancreatic duct originating from aneurysms or pseudoaneurysms of peripancreatic arteries. It is a life-threatening cause of gastrointestinal bleeding that should always be considered in patients with prolonged or intermittent obscure gastrointestinal blood loss, or both, especially in patients with pancreatic disorders or prior pancreatic surgery. We demonstrate an endovascular treatment strategy in a patient with a common hepatic pseudoaneurysm and upper gastrointestinal tract bleeding, with preserved flow in the hepatic artery. This treatment consisted of a covered stent placement in the hepatic artery, followed by transcatheter coil embolization of collateral feeding arteries.
胰性出血是一种罕见的胃肠道出血原因，源于胰周动脉的动脉瘤或假性动脉瘤。这是一种危及生命的胃肠道出血原因，对于持续或间歇性不明原因胃肠道失血的患者，尤其是存在胰腺疾病或既往胰腺手术史的患者，应始终考虑该原因。我们展示了一位患有肝总假性动脉瘤和上消化道出血患者的血管内治疗策略，肝动脉血流得以保留。该治疗包括肝动脉内覆膜支架置入术，随后对侧支供血动脉进行经导管弹簧圈栓塞术。
