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双气囊辅助弹簧圈栓塞术成功治疗肠系膜上动脉主干活动性出血所致的胰源性腹水。

Hemosuccus pancreaticus successful treatment by double balloon-assisted coil embolization for active bleeding from the main trunk of the superior mesenteric artery.

作者信息

Yoshida Rika, Yoshizako Takeshi, Maruyama Mitsunari, Ando Shinji, Nakamura Megumi, Fukushi Keiko, Takinami Yoshikazu, Kawabata Yasunari, Nakamura Tomonori, Tamaki Yukihisa, Kitagaki Hajime

机构信息

Department of Radiology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan.

Department of Emergency, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan.

出版信息

Radiol Case Rep. 2018 Apr 4;13(3):644-647. doi: 10.1016/j.radcr.2018.03.005. eCollection 2018 Jun.

DOI:10.1016/j.radcr.2018.03.005
PMID:30038696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6053772/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/99ad1a51b347/radcr488-fig-0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/a18ec4a95231/radcr488-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/2f0192bf2640/radcr488-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/99ad1a51b347/radcr488-fig-0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/a18ec4a95231/radcr488-fig-0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/2f0192bf2640/radcr488-fig-0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290d/6053772/99ad1a51b347/radcr488-fig-0003.jpg

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Pseudoaneurysm associated haemosuccus pancreaticus - a rare and dangerous disease.假性动脉瘤合并胰源性腹水——一种罕见且危险的疾病。
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本文引用的文献

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Double Balloon-Assisted Coil Embolization (BACE) Combined with Proximal and Distal Balloon Inflation for Short Abdominal Arterial Segments: Comparison with Single BACE.双球囊辅助弹簧圈栓塞术（BACE）联合近端和远端球囊充盈用于短段腹主动脉：与单球囊辅助弹簧圈栓塞术的比较
Cardiovasc Intervent Radiol. 2017 Oct;40(10):1617-1623. doi: 10.1007/s00270-017-1722-1. Epub 2017 Jun 7.
2
Hemosuccus pancreaticus associated with severe acute pancreatitis and pseudoaneurysms: a report of two cases.胰源性腹水合并重症急性胰腺炎及假性动脉瘤：两例报告
JOP. 2011 Sep 9;12(5):469-72.
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Chronic mesenteric ischemia: efficacy and outcome of endovascular therapy.
肠系膜上动脉分支栓塞术治疗胰源性腹水
BMJ Case Rep. 2019 May 8;12(5):e229110. doi: 10.1136/bcr-2018-229110.
慢性肠系膜缺血：血管内治疗的疗效与结局
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Anastomosis of Riolan revisited: the meandering mesenteric artery.再探里罗兰吻合术：迂回肠系膜动脉
Arch Surg. 2005 Dec;140(12):1225-9. doi: 10.1001/archsurg.140.12.1225.
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Hemosuccus pancreaticus: a rare cause of gastrointestinal bleeding.
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Haemosuccus pancreaticus: treatment by arterial embolization.
Clin Radiol. 2002 Nov;57(11):1021-7. doi: 10.1053/crad.2002.1063.
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Hemosuccus pancreaticus: diagnosis with CT and MRI and treatment with transcatheter embolization.
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