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胰腺动静脉畸形伴十二指肠溃疡穿孔出血。病例报告及文献复习。

Bleeding from pancreatic arteriovenous malformation with duodenal ulcer penetration. Case report and literature review.

作者信息

Takayama Hiroshi, Shimodate Yuichi, Nomura Satoshi, Kitagawa Hirohisa, Akaike Yoko, Uchino Kaori, Watanabe Tetsuo, Mizuno Motowo

机构信息

Department of Gastroenterology Kurashiki Central Hospital Okayama Japan.

Department of Surgery Kurashiki Central Hospital Okayama Japan.

出版信息

Clin Case Rep. 2020 May 21;8(8):1472-1475. doi: 10.1002/ccr3.2888. eCollection 2020 Aug.

DOI:10.1002/ccr3.2888
PMID:32884777
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7455445/
Abstract

Dilated vessels at the ulcer floor of the second part of the duodenum can be signs of pancreatic arteriovenous malformation; contrast-enhanced computed tomography should be performed, and surgical treatment should be considered.

摘要

十二指肠第二部溃疡底部的血管扩张可能是胰腺动静脉畸形的征象；应进行对比增强计算机断层扫描，并考虑手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/b20aa68645dc/CCR3-8-1472-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/3b36e1e557ff/CCR3-8-1472-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/f265f499600e/CCR3-8-1472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/b20aa68645dc/CCR3-8-1472-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/3b36e1e557ff/CCR3-8-1472-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/f265f499600e/CCR3-8-1472-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/7455445/b20aa68645dc/CCR3-8-1472-g003.jpg

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Clin Case Rep. 2020 May 21;8(8):1472-1475. doi: 10.1002/ccr3.2888. eCollection 2020 Aug.
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本文引用的文献

1
[A case of an intractable duodenal ulcer associated with a pancreatic arteriovenous malformation].[一例与胰腺动静脉畸形相关的难治性十二指肠溃疡]
Nihon Shokakibyo Gakkai Zasshi. 2017;114(5):846-853. doi: 10.11405/nisshoshi.114.846.
2
Pancreatic arteriovenous malformation with portal vein thrombosis.
Surgery. 2015 Jan;157(1):171-2. doi: 10.1016/j.surg.2013.06.054.
3
Unusual cause of massive upper gastrointestinal bleeding: a pancreatic arteriovenous malformation.大量上消化道出血的罕见病因：胰腺动静脉畸形。
JOP. 2013 May 10;14(3):292-5. doi: 10.6092/1590-8577/1404.
4
Pancreatic arteriovenous malformation.胰腺动静畸形。
J Gastrointest Surg. 2013 Jul;17(7):1240-6. doi: 10.1007/s11605-013-2217-2. Epub 2013 May 2.
5
Exposed blood vessels of more than 2 mm in diameter are a risk factor for rebleeding after endoscopic clipping hemostasis for hemorrhagic gastroduodenal ulcer.直径大于 2 毫米的暴露血管是内镜夹闭止血治疗胃十二指肠溃疡出血后再出血的危险因素。
Dig Endosc. 2013 Jan;25(1):13-9. doi: 10.1111/j.1443-1661.2012.01333.x. Epub 2012 Jun 3.
6
Meta-analysis: predictors of rebleeding after endoscopic treatment for bleeding peptic ulcer.Meta 分析：内镜治疗消化性溃疡出血后再出血的预测因素。
Aliment Pharmacol Ther. 2011 Oct;34(8):888-900. doi: 10.1111/j.1365-2036.2011.04830.x. Epub 2011 Sep 7.
7
[A case of pancreatic arteriovenous malformation creating a common bile duct-duodenal fistula with the onset of hemorrhagic duodenal ulcer].[一例胰腺动静脉畸形引发胆总管-十二指肠瘘并伴有出血性十二指肠溃疡发作]
Nihon Shokakibyo Gakkai Zasshi. 2010 Jun;107(6):937-47.
8
A Case of Recurrent Acute Pancreatitis due to Pancreatic Arteriovenous Malformation.胰动静脉畸形致复发性急性胰腺炎 1 例报告
Gut Liver. 2010 Mar;4(1):135-9. doi: 10.5009/gnl.2010.4.1.135. Epub 2010 Mar 30.
9
Pancreatic Arteriovenous Malformation Associated with Duodenal Ulcer and H.Pylori Infection.胰腺动静脉畸形伴十二指肠溃疡和幽门螺杆菌感染
Int J Gastrointest Cancer. 2001;29(2):113-116.
10
Duodenal ulcer and pancreatitis associated with pancreatic arteriovenous malformation.十二指肠溃疡和胰腺炎与胰腺动静脉畸形相关。
Eur J Gastroenterol Hepatol. 2002 May;14(5):551-4. doi: 10.1097/00042737-200205000-00013.