Shengjing Hospital, China Medical University, Shenyang, China.
Endosc Ultrasound. 2014 Apr;3(Suppl 1):S2.
Pseudoaneurysms are infrequent, potentially fatal angiopathies. Because of a high mortality rate, pseudoaneurysms must be handled urgently, regardless of the size and symptoms at presentation. We report a case of chronic pancreatitis and a pseudocyst of the pancreas complicated with a splenic artery pseudoaneurysm. Endoscopic ultrasonography (EUS) was chosen as the device to observe the forming of a splenic artery pseudoaneurysm, which could provide timely, minimally invasive, precise lesion information. Early diagnosis and urgent measure are important when there is a high probability of splenic artery psedoaneurysm. In recent years, EUS has been extensively studied in the detection, diagnosis and treatment of pancreatic disease. The color-Doppler flow imaging (CDFI) can dynamically reflect the peripheral blood flow signal. EUS with a CDFI function can play an important role in the initial detection of pseudoaneurysms, especially when complicated with chronic pancreatitis with or without a pseudocyst. We recommend that EUS should be carried out if a pseudoaneurysm near the digestive tract is considered, then effective and timely measures can produce a favorable prognosis.
假性动脉瘤是一种罕见但可能致命的血管疾病。由于死亡率较高，假性动脉瘤必须紧急处理，无论其大小和症状如何。我们报告了一例慢性胰腺炎和胰腺假性囊肿合并脾动脉假性动脉瘤的病例。超声内镜（EUS）被选为观察脾动脉假性动脉瘤形成的设备，它可以提供及时、微创、精确的病变信息。当脾动脉假性动脉瘤的可能性较高时，早期诊断和紧急措施非常重要。近年来，EUS 在胰腺疾病的检测、诊断和治疗中得到了广泛的研究。彩色多普勒血流成像（CDFI）可以动态反映外周血流信号。具有 CDFI 功能的 EUS 在假性动脉瘤的早期检测中发挥着重要作用，尤其是在伴有或不伴有假性囊肿的慢性胰腺炎的情况下。我们建议，如果考虑假性动脉瘤位于消化道附近，应进行 EUS，然后采取有效和及时的措施，以产生良好的预后。
