Goordeen Ashley, Sharbatji Mohamad, Khalid Sameen, Abbass Aamer, Majeed Umair
University of Central Florida College of Medicine, Orlando, USA.
Internal Medicine, Florida Hospital-Orlando, Orlando, USA.
Cureus. 2018 Apr 20;10(4):e2512. doi: 10.7759/cureus.2512.
Pancreatic pseudocyst is a complication that can arise in both acute and chronic pancreatitis. Overtime, this encapsulated enzyme-rich fluid collection may erode into surrounding vasculature and result in the formation of a pseudoaneurysm. Pseudoaneurysms can rupture into the gastrointestinal tract and present as upper, lower, and biliary bleeding. Evaluation of pancreatic pseudocysts involves computed tomography imaging or magnetic resonance imaging for both identification and monitoring. Esophagogastroduodenoscopy (EGD) and endoscopic ultrasound (EUS) can be done to further visualize the lesion. In the presence of gastrointestinal bleed, management involves the combination of interventional radiology and surgery.
胰腺假性囊肿是急性和慢性胰腺炎都可能出现的一种并发症。随着时间的推移，这种富含酶的包裹性液体聚集可能侵蚀周围血管，导致假性动脉瘤形成。假性动脉瘤可破裂进入胃肠道，表现为上消化道、下消化道和胆道出血。胰腺假性囊肿的评估包括计算机断层扫描成像或磁共振成像，用于识别和监测。可进行食管胃十二指肠镜检查（EGD）和内镜超声检查（EUS）以进一步观察病变。在出现胃肠道出血时，治疗方法包括介入放射学和外科手术联合应用。
