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内镜逆行胰胆管造影术后内脏动脉假性动脉瘤破裂。

Visceral Artery Pseudoaneurysm Rupture after Endoscopic Retrograde Cholangiopancreatography.

机构信息

Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.

出版信息

Korean J Gastroenterol. 2020 Mar 25;75(3):162-166. doi: 10.4166/kjg.2020.75.3.162.

Abstract

A visceral artery pseudoaneurysm after ERCP is a rare adverse event that is potentially life-threatening. Most cases reported previously originated from the peripancreatic arteries, including the splenic artery, gastroduodenal artery, or pancreaticoduodenal artery. The mechanism of the occurrence of visceral artery pseudoaneurysms after ERCP has not been elucidated until now. Recently, a pseudoaneurysm rupture originating from the superior mesenteric artery after ERCP was observed in a patient without a history of pancreatitis. This paper reports this case with a review of the relevant literature.

摘要

内镜逆行胰胆管造影(ERCP)术后发生内脏动脉假性动脉瘤是一种罕见的不良事件,可能危及生命。以前报道的大多数病例起源于胰周动脉,包括脾动脉、胃十二指肠动脉或胰十二指肠动脉。到目前为止,ERCP 后内脏动脉假性动脉瘤发生的机制尚未阐明。最近,在一例无胰腺炎病史的患者中观察到 ERCP 后源于肠系膜上动脉的假性动脉瘤破裂。本文报告了这一病例,并复习了相关文献。

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