Santos Fabiana Seifert, Sousa Karolaine Marcelina da Silva, de Castro Thiago Augusto Cadorin, Coelho Felipe, de Oliveira Rodrigo Gomes, de Araujo Walter Jr Boim, Dos Santos Lilian Cabral Pereira, de Souza Raquel Canzi Almada
Pontifícia Universidade Católica do Paraná - PUCPR, Curso de Medicina, Londrina, PR, Brasil.
Santa Casa de Misericórdia de Londrina, Cirurgia Vascular, Londrina, PR, Brasil.
J Vasc Bras. 2018 Jan-Mar;17(1):71-75. doi: 10.1590/1677-5449.012517.
Pseudoaneurysm secondary to chronic pancreatitis is a rare complication, but one with a high mortality rate. It is etiologically associated with chronic pancreatitis, and most diagnoses are made after rupture, which manifests with clinical signs of acute hemorrhage. Computed tomography plays an important role in diagnosis, but digital subtraction angiography remains the gold-standard method for diagnostic confirmation and for treatment planning. This article describes two cases of pseudoaneurysm in patients with chronic alcoholic pancreatitis; one involving the splenic artery and the other the gastroduodenal artery, complicated by thoracic and abdominal bleeding respectively. Both were successfully treated, using minimally invasive endovascular methods to implant coils and stent-grafts.
慢性胰腺炎继发假性动脉瘤是一种罕见的并发症，但死亡率很高。其病因与慢性胰腺炎相关，大多数诊断是在破裂后做出的，破裂表现为急性出血的临床症状。计算机断层扫描在诊断中起重要作用，但数字减影血管造影仍然是诊断确认和治疗规划的金标准方法。本文描述了两例慢性酒精性胰腺炎患者的假性动脉瘤病例；一例累及脾动脉，另一例累及胃十二指肠动脉，分别并发胸腹部出血。两例均采用微创血管内方法植入线圈和覆膜支架成功治疗。
