Fukatsu Kazuhiro, Ueda Kazuki, Maeda Hiroki, Yamashita Yasunobu, Itonaga Masahiro, Mori Yoshiyuki, Moribata Kosaku, Shingaki Naoki, Deguchi Hisanobu, Enomoto Shotaro, Inoue Izumi, Maekita Takao, Iguchi Mikitaka, Tamai Hideyuki, Kato Jun, Ichinose Masao
Kazuhiro Fukatsu, Kazuki Ueda, Hiroki Maeda, Yasunobu Yamashita, Masahiro Itonaga, Yoshiyuki Mori, Kosaku Moribata, Naoki Shingaki, Hisanobu Deguchi, Shotaro Enomoto, Izumi Inoue, Takao Maekita, Mikitaka Iguchi, Hideyuki Tamai, Jun Kato, Masao Ichinose, Second Department of Internal Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama City, Wakayama 641-0012, Japan.
World J Gastrointest Endosc. 2012 Jul 16;4(7):335-8. doi: 10.4253/wjge.v4.i7.335.
Endoscopic ultrasonography (EUS) was performed on a patient being treated for chronic pancreatitis because a submucosal tumor was observed in the stomach during gastrointestinal endoscopy. As internal pulsatile blood flow on Doppler was present, the diagnosis of an aneurysm was made. The pseudoaneurysm of the left gastric artery was embolized with histoacryl and lipiodol and the splenic artery was embolized with coils at the location of the pseudoaneurysm to prevent hemorrhage. Follow up EUS confirmed the cessation of blood flow from the pseudoaneurysm. Clinicians encountering a gastric submucosal tumor-like protrusion in a patient with chronic pancreatitis should use EUS to investigate the possibility of a pseudoaneurysm, which must be treated as quickly as possible once identified.
因在胃肠内镜检查时发现胃内有一黏膜下肿瘤，遂对一名正在接受慢性胰腺炎治疗的患者进行了超声内镜检查（EUS）。由于多普勒检查显示内部有搏动性血流，故诊断为动脉瘤。用组织黏合剂和碘油栓塞胃左动脉假性动脉瘤，并在假性动脉瘤部位用弹簧圈栓塞脾动脉以防止出血。随访EUS证实假性动脉瘤血流停止。临床医生在患有慢性胰腺炎的患者中遇到类似胃黏膜下肿瘤样突出时，应使用EUS调查假性动脉瘤的可能性，一旦确诊必须尽快治疗。
