Bivins B A, Sachatello C R, Chuang V P, Brady P
Arch Surg. 1978 Jun;113(6):751-3. doi: 10.1001/archsurg.1978.01370180093016.
A patient with recurrent upper gastrointestinal bleeding was found to have pancreatitis and a pseudoaneurysm of the splenic artery that communicated with the pancreatic duct. Similar pathology noted in ten other patients found in an extensive review of the literature suggest that this rare entity must be considered in the diagnosis of gastrointestinal hemorrhage of obscure origin. In this collected experience, the combination of recurrent left upper quadrant pain, a history of pancreatitis, and recurrent bouts of gastrointestinal bleeding of obscure origin were usually present in those patients who were found to have a splenic artery aneurysm as the source of the blood loss. Distal pancreatectomy with resection of the splenic artery aneurysm is curative.
一名复发性上消化道出血患者被发现患有胰腺炎和与胰管相通的脾动脉假性动脉瘤。在广泛的文献回顾中发现的其他十名患者也有类似病理情况，这表明在诊断不明原因的胃肠道出血时必须考虑这种罕见的情况。在这一综合经验中，那些被发现脾动脉瘤是失血来源的患者通常有复发性左上腹疼痛、胰腺炎病史以及不明原因的反复胃肠道出血发作。行远端胰腺切除术并切除脾动脉瘤可治愈。
