Karsan Rickesh B, Al-Sarireh Bilal
Pancreatic Unit, Morriston Hospital, ABMU Health Board, Swansea, UK.
J Surg Case Rep. 2018 Aug 17;2018(8):rjy194. doi: 10.1093/jscr/rjy194. eCollection 2018 Aug.
Pseudoaneurysms in the celiac territory are mostly managed conservatively. Endovascular thromboembolisation with or without stenting is currently the standard treatment with good outcome. We present a case of a patient with chronic pancreatitis who initially underwent endovascular treatment for presumed splenic artery pseudoaneurysm and subsequently required surgical intervention for complicated unnamed artery pseudoaneurysm. Radiological diagnosis was instrumental in guiding the ensuing surgical procedure and the patient made a good postoperative recovery.
腹腔区域的假性动脉瘤大多采用保守治疗。目前,无论是否使用支架进行血管内血栓栓塞术都是标准治疗方法,效果良好。我们报告一例慢性胰腺炎患者,该患者最初因疑似脾动脉假性动脉瘤接受了血管内治疗,随后因无名动脉假性动脉瘤并发症需要进行手术干预。放射学诊断有助于指导后续的手术操作,患者术后恢复良好。