结核性胰腺炎合并脾动脉假性动脉瘤破裂。

Tuberculous pancreatitis complicated by ruptured splenic artery pseudoaneurysm.

作者信息

Irfan M, Thiavalappil F, Nagaraj J, Brown T H, Roberts D, McKnight L, Harrison N K

出版信息

Monaldi Arch Chest Dis. 2013 Sep-Dec;79(3-4):134-5. doi: 10.4081/monaldi.2013.5212.

DOI:10.4081/monaldi.2013.5212

Abstract

Tuberculosis involving the pancreas is rare. We report a patient with pancreatic tuberculosis complicated by haemorrhage from a splenic artery pseudoaneurysm. As far as we are aware, the development of a splenic artery pseudoaneurysm in association with a large caseating mass of tuberculous pancreatic lymph nodes has not been reported previously. We review the literature and discuss the varied presentations of tuberculosis involving the pancreas or the pancreatic bed and its draining lymph nodes.

摘要

胰腺结核较为罕见。我们报告一例胰腺结核合并脾动脉假性动脉瘤出血的患者。据我们所知，此前尚未有关于结核性胰腺淋巴结形成巨大干酪样肿块并伴有脾动脉假性动脉瘤的报道。我们回顾了文献，并讨论了累及胰腺、胰腺床及其引流淋巴结的结核的不同表现形式。