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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.

DOI:10.1093/jscr/rjz407
PMID:32104567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7033481/
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/7033481/6289dd119152/rjz407f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/36a1d18222bc/rjz407f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/c57667fc139e/rjz407f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/60255d96a0f0/rjz407f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/c2f780aa28b2/rjz407f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/0b80f7757df4/rjz407f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/d7b02657d6a5/rjz407f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/6289dd119152/rjz407f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/36a1d18222bc/rjz407f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/c57667fc139e/rjz407f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/60255d96a0f0/rjz407f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/c2f780aa28b2/rjz407f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/0b80f7757df4/rjz407f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/d7b02657d6a5/rjz407f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e7d/7033481/6289dd119152/rjz407f7.jpg

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Adolescent Acute Pancreatitis Complicated With Pseudoaneurysms and Venous Thrombosis.青少年急性胰腺炎合并假性动脉瘤和静脉血栓形成
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An Unusual Cause of Biliary Peritonitis on the Background of Acute Pancreatitis: A Case Report.

本文引用的文献

1
Venous Thromboembolism Is Associated With Adverse Outcomes in Hospitalized Patients With Acute Pancreatitis: A Population-Based Cohort Study.静脉血栓栓塞与急性胰腺炎住院患者的不良结局相关：一项基于人群的队列研究。
Pancreas. 2017 Oct;46(9):1165-1172. doi: 10.1097/MPA.0000000000000906.
2
Inferior Vena Cava Filters: Guidelines, Best Practice, and Expanding Indications.下腔静脉滤器：指南、最佳实践及不断扩展的适应证
Semin Intervent Radiol. 2016 Jun;33(2):65-70. doi: 10.1055/s-0036-1581088.
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Necrotizing pancreatitis: diagnosis, imaging, and intervention.
急性胰腺炎背景下胆源性腹膜炎的罕见病因：一例报告
Surg J (N Y). 2022 Sep 2;8(3):e227-e231. doi: 10.1055/s-0042-1756284. eCollection 2022 Jul.
坏死性胰腺炎：诊断、影像学检查和介入治疗。
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Gastroduodenal artery aneurysm, diagnosis, clinical presentation and management: a concise review.胃十二指肠动脉动脉瘤：诊断、临床表现及处理——简要综述
Ann Surg Innov Res. 2013 Apr 16;7(1):4. doi: 10.1186/1750-1164-7-4.
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Pulmonary embolism with acute pancreatitis: a case report and literature review.肺栓塞合并急性胰腺炎：病例报告及文献复习。
World J Gastroenterol. 2012 Feb 14;18(6):583-6. doi: 10.3748/wjg.v18.i6.583.
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Management and outcome of bleeding pseudoaneurysm associated with chronic pancreatitis.慢性胰腺炎相关出血性假性动脉瘤的管理与预后
BMC Gastroenterol. 2006 Jan 11;6:3. doi: 10.1186/1471-230X-6-3.
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Vascular complications of pancreatitis.胰腺炎的血管并发症
ANZ J Surg. 2005 Dec;75(12):1073-9. doi: 10.1111/j.1445-2197.2005.03607.x.
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Systematic appraisal of the management of the major vascular complications of pancreatitis.胰腺炎主要血管并发症管理的系统评估
Am J Surg. 2005 Sep;190(3):489-95. doi: 10.1016/j.amjsurg.2005.03.009.