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胃十二指肠动脉假性动脉瘤与肺栓塞:胰腺炎两种并发症的罕见巧合。

Pseudoaneurysm of gastroduodenal artery and pulmonary embolism: rare co-incidence of two complications of pancreatitis.

作者信息

Sgantzou Ioanna Konstantina, Samara Athina A, Diamantis Alexandros, Karagiorgas Georgios P, Zacharoulis Dimitrios, Rountas Christos

机构信息

Department of Interventional Radiology, University Hospital of Larissa, Larissa, Greece.

Department of Surgery, University Hospital of Larissa, Larissa, Greece.

出版信息

J Surg Case Rep. 2020 Feb 21;2020(2):rjz407. doi: 10.1093/jscr/rjz407. eCollection 2020 Feb.

Abstract

Preventing and curing complications of acute and chronic pancreatitis, which may be local or systemic, remains a challenge. Pseudocysts and walled-off pancreatic necrosis are two local complications that most frequently require surgical intervention. Two rare complications of pancreatitis are pseudoaneurysms and pulmonary embolism. Angiographic embolization can be the treatment of choice for pseudoaneurysms, while for pulmonary embolism apart from anticoagulation treatment, the optional inferior vena cava filter placement could be useful. As far as we know, in literature, these complications of pancreatitis have never been reported simultaneously yet.

摘要

预防和治疗急慢性胰腺炎的局部或全身并发症仍然是一项挑战。假性囊肿和包裹性胰腺坏死是两种最常需要手术干预的局部并发症。胰腺炎的两种罕见并发症是假性动脉瘤和肺栓塞。血管造影栓塞术可以作为假性动脉瘤的首选治疗方法,而对于肺栓塞,除了抗凝治疗外,选择性放置下腔静脉滤器可能会有帮助。据我们所知,在文献中,胰腺炎的这些并发症从未同时被报道过。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/36a1d18222bc/rjz407f1.jpg

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