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慢性胰腺炎病例中的胃左假性动脉瘤:一例病例报告并文献复习

Left Gastric Pseudoaneurysm in a Case of Chronic Pancreatitis: A Case Report With Review of Literature.

作者信息

Nagarajan Krishnan, Sunilkumar Devaraj, Ramakrishnaiah Vishnu Prasad Nelamangala, Amuthabarathi Mohan

机构信息

Department of Radio-Diagnosis, 29988Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

Department of Surgery, 29988Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

出版信息

Vasc Endovascular Surg. 2021 Jan;55(1):73-76. doi: 10.1177/1538574420954309. Epub 2020 Sep 1.

Abstract

Visceral artery pseudoaneurysms are common complications of pancreatitis that carry a high mortality rate. Early detection and treatment of the pseudoaneurysms should be done as they carry high mortality following rupture. The splenic artery is the commonest artery involved followed by gastroduodenal and pancreaticoduodenal arteries. Gastric artery pseudoaneurysms are less common with less than 50 cases reported in the literature till now. We describe a case of gastric artery pseudoaneurysm secondary to chronic pancreatitis in a patient who presented with intermittent GI bleeding and also describe the role of endovascular management in the treatment of the same.

摘要

内脏动脉假性动脉瘤是胰腺炎常见的并发症,死亡率很高。由于假性动脉瘤破裂后死亡率高,因此应尽早对其进行检测和治疗。脾动脉是最常受累的动脉,其次是胃十二指肠动脉和胰十二指肠动脉。胃动脉假性动脉瘤较少见,迄今为止文献报道的病例不到50例。我们描述了一例慢性胰腺炎继发胃动脉假性动脉瘤的患者,该患者表现为间歇性胃肠道出血,并阐述了血管内治疗在该病治疗中的作用。

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