Yoshida Rika, Yoshizako Takeshi, Maruyama Mitsunari, Ando Shinji, Nakamura Megumi, Fukushi Keiko, Takinami Yoshikazu, Kawabata Yasunari, Nakamura Tomonori, Tamaki Yukihisa, Kitagaki Hajime
Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan.
Department of Emergency, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan.
Radiol Case Rep. 2018 Apr 4;13(3):644-647. doi: 10.1016/j.radcr.2018.03.005. eCollection 2018 Jun.
We report a case of a 63-year-old man with hemosuccus pancreaticus due to large pseudoaneurysm originating from the main trunk of the superior mesenteric artery (SMA). The patient was treated successfully with the double balloon-assisted coil embolization technique combined with proximal and distal balloon inflation in the short segment of the SMA. This technique preserved the pancreaticoduodenal arterial arcade and the supply to the distal part of the SMA by embolizing SMA in a short segment.
我们报告一例63岁男性因源于肠系膜上动脉(SMA)主干的巨大假性动脉瘤导致胰管出血。该患者通过双球囊辅助弹簧圈栓塞技术成功治疗,该技术结合了在SMA短节段的近端和远端球囊充盈。此技术通过在短节段栓塞SMA,保留了胰十二指肠动脉弓以及SMA远端部分的血供。