Varrassi Marco, Izzo Antonio, Carducci Sergio, Giordano Aldo Victor, Masciocchi Carlo
Department of Radiology, S. Salvatore hospital, L'Aquila, Italy.
Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, via Vetoio, L'Aquila, Italy.
J Radiol Case Rep. 2018 May 31;12(5):12-18. doi: 10.3941/jrcr.v12i5.3285. eCollection 2018 May.
Pancreatic pseudoaneurysms represent relatively rare but potentially lethal complications of acute or chronic pancreatitis, involving several visceral arteries. Due to their intrinsic instability and subsequent high risk of massive bleeding, these lesions require prompt treatment, regardless of the size of the pseudoaneurysm. First option of treatment is today represented by transcatheter embolization; this treatment, in fact, shows higher rates of clinical and technical success and lower recurrence rates than conventional surgery. We present a clinical case of endovascular management of a large pseudoaneurysm, measuring 54 × 53 mm (AP × LL), involving right gastric artery in a 35-year-old woman with history of chronic alcoholic abuse presenting with severe anemia.
胰腺假性动脉瘤是急性或慢性胰腺炎相对罕见但可能致命的并发症，累及多条内脏动脉。由于其内在的不稳定性以及随后发生大出血的高风险，无论假性动脉瘤的大小如何，这些病变都需要及时治疗。如今，经导管栓塞术是首选的治疗方法；事实上，这种治疗方法在临床和技术成功率方面高于传统手术，且复发率更低。我们报告了一例对一名35岁有慢性酒精滥用史且伴有严重贫血的女性患者进行血管内治疗的临床病例，该患者的一个大小为54×53毫米（前后径×左右径）的巨大假性动脉瘤累及胃右动脉。
