Ismaili M, Mvumbi F, Akach I, Alami B, Boubbou M, Lahmidani N, El Youssfi M, Maâroufi M, Lamrani Y A
Service de radiologie, CHU Hassan II, Fès, faculté de médecine et de pharmacie, université Sidi Mohammed ben Abdallah, Fès, Maroc.
Service de radiologie, CHU Hassan II, Fès, faculté de médecine et de pharmacie, université Sidi Mohammed ben Abdallah, Fès, Maroc.
J Med Vasc. 2019 Sep;44(5):336-339. doi: 10.1016/j.jdmv.2019.06.006. Epub 2019 Aug 7.
Jejunal pseudoaneurysm is a rare complication of pancreatitis, usually manifested by digestive bleeding when it ruptures into the digestive lumen. This complication is extremely rare and may be life-threatening. The diagnosis is based on abdominal angiographic computed tomography. Radiology allows therapeutic management through arterial embolization. This case report describes a pseudoaneurysm of jejunal artery that developed as the result of pancreatitis: A 77-year-old man seen in early September 2015 at the emergency department for acute pancreatitis had a pseudocyst infected and spontaneously fistulized into the jejunum lumen. His condition responded initially to symptomatic therapy, and he was discharged. He returned two years later, with digestive bleeding from jejunal pseudoaneurysm that had ruptured into the jejunal lumen. Angiographic embolization was performed as first-line treatment with good outcome. Bleeding more than two years after acute pancreatitis due to rupture of a jejunal pseudoaneurysm is an exceptional complication. Here we report a rare case of digestive hemorrhage caused by jejunal pseudoaneurysm, complicating acute pancreatitis.
空肠假性动脉瘤是胰腺炎的一种罕见并发症，通常在破裂进入消化腔时表现为消化道出血。这种并发症极为罕见，可能危及生命。诊断基于腹部血管造影计算机断层扫描。放射学检查有助于通过动脉栓塞进行治疗管理。本病例报告描述了一例因胰腺炎导致的空肠动脉假性动脉瘤：一名77岁男性于2015年9月初因急性胰腺炎在急诊科就诊，其假性囊肿感染并自发瘘入空肠腔。他的病情最初对对症治疗有反应，随后出院。两年后他再次就诊，因空肠假性动脉瘤破裂进入空肠腔而出现消化道出血。血管造影栓塞作为一线治疗，效果良好。急性胰腺炎后两年以上因空肠假性动脉瘤破裂导致出血是一种罕见的并发症。在此我们报告一例因空肠假性动脉瘤并发急性胰腺炎引起的消化道出血罕见病例。
