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急性胰腺炎所致左肝动脉假性动脉瘤

Left Hepatic Artery Pseudoaneurysm Caused by Acute Pancreatitis.

作者信息

Nam Hwa Seong, Noh Myung Hwan, Han Ji Eun, Kim Jae Hoon, Oh Ki Jong, Lee Hyuk, Jo Jeong Hyun

机构信息

Department of Internal Medicine, College of Medicine, Dong-A University, Busan, Republic of Korea.

出版信息

Med Princ Pract. 2017;26(2):192-194. doi: 10.1159/000455860. Epub 2017 Jan 9.

Abstract

OBJECTIVE

The aim of this work was to report a case of left hepatic artery pseudoaneurysm due to acute pancreatitis following endoscopic papillectomy.

CLINICAL PRESENTATION AND INTERVENTION

A 74-year-old female with an ampullary adenoma underwent papillectomy, which was complicated by acute pancreatitis. Computed tomography showed aneurysmal dilatation of the proximal left hepatic artery. An angiography with coli embolization was performed and was successful. The patient was doing well at the 1-year follow-up.

CONCLUSION

This patient with left hepatic artery pseudoaneurysm following severe acute pancreatitis was successfully treated with coil embolization.

摘要

目的

本研究旨在报告1例内镜乳头切除术后因急性胰腺炎导致左肝动脉假性动脉瘤的病例。

临床表现与干预措施

1例74岁壶腹腺瘤女性患者接受了乳头切除术,术后并发急性胰腺炎。计算机断层扫描显示左肝动脉近端呈瘤样扩张。实施了结肠栓塞血管造影术且手术成功。患者在1年随访时情况良好。

结论

该例重症急性胰腺炎后左肝动脉假性动脉瘤患者经弹簧圈栓塞治疗成功。

相似文献

1
Left Hepatic Artery Pseudoaneurysm Caused by Acute Pancreatitis.急性胰腺炎所致左肝动脉假性动脉瘤
Med Princ Pract. 2017;26(2):192-194. doi: 10.1159/000455860. Epub 2017 Jan 9.
9
Transcatheter embolization of a superior mesenteric artery pseudoaneurysm. A case report.
Acta Radiol. 1999 Nov;40(6):649-51. doi: 10.3109/02841859909175604.

本文引用的文献

3
American College of Gastroenterology guideline: management of acute pancreatitis.美国胃肠病学会指南:急性胰腺炎的管理。
Am J Gastroenterol. 2013 Sep;108(9):1400-15; 1416. doi: 10.1038/ajg.2013.218. Epub 2013 Jul 30.
9
CT of fluid collections associated with pancreatitis.胰腺炎相关积液的CT检查
AJR Am J Roentgenol. 1980 Jun;134(6):1121-32. doi: 10.2214/ajr.134.6.1121.

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