Ierardi Anna Maria, Petrillo Mario, Capasso Raffaella, Fontana Federico, Bacuzzi Alessandro, Duka Ejona, Laganà Domenico, Carrafiello Gianpaolo
Department of Radiology, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Viale Borri 57, 21100 Varese, VA, Italy.
J Med Case Rep. 2015 Jan 9;9(1):6. doi: 10.1186/1752-1947-9-6.
We report on the successful endovascular treatment of a ruptured splenic artery pseudoaneurysm. Our patient had acute pancreatitis superimposed on chronic calcific pancreatitis and chronic renal impairment. Contrast-enhanced ultrasonography was used to assess post-embolization results.
Our patient was a 67-year-old white Caucasian man with recurrent pancreatitis. Computed tomography angiography showed a pancreatic pseudocyst with a ruptured pseudoaneurysm, which was successfully embolized using an endovascular percutaneous approach. At six months, persistent renal failure led to contrast-enhanced ultrasonography. This confirmed the absence of turbulent blood flow and extravasation of contrast medium in the pseudocyst.
Our experience with this case leads us to support the role of interventional radiology as a first-line treatment tool. Contrast-enhanced ultrasonography can be used to follow-up embolization procedures in patients with impaired renal function.
我们报告了一例脾动脉假性动脉瘤破裂的成功血管内治疗。我们的患者患有叠加在慢性钙化性胰腺炎和慢性肾功能损害之上的急性胰腺炎。使用对比增强超声评估栓塞后结果。
我们的患者是一名67岁的白种男性，患有复发性胰腺炎。计算机断层血管造影显示一个伴有假性动脉瘤破裂的胰腺假性囊肿，采用血管内经皮方法成功进行了栓塞。六个月时，持续性肾衰竭导致进行了对比增强超声检查。这证实了假性囊肿内无血流紊乱和造影剂外渗。
我们对该病例的经验使我们支持介入放射学作为一线治疗工具的作用。对比增强超声可用于对肾功能受损患者的栓塞程序进行随访。
