Dalcher G, Zeyer B, Bietiger M, Muller J, Reck A, Zirn A, Rosburger C, Morlier D
Service de Chirurgie B, Centre Hospitalier, Mulhouse.
J Chir (Paris). 1987 Dec;124(12):677-83.
The authors report a case of a pancreatic pseudocyst complicated by a false aneurysm of the superior mesenteric artery. The diagnosis was made possible thanks to the evocative images of echography and C.T. scanning permitting to perform on time the arteriography. The surgical treatment consisted on the exclusion of the false aneurysm, which necessitated a distal bypass to revascularise the intestinal tract, and the drainage of the pseudocyst by a Roux-en-Y loop. A review of literature is made.
作者报告了一例胰腺假性囊肿合并肠系膜上动脉假性动脉瘤的病例。由于超声和CT扫描的提示性图像,得以进行动脉造影,从而做出诊断。手术治疗包括排除假性动脉瘤(这需要进行远端搭桥以恢复肠道血运)以及通过Roux-en-Y袢引流假性囊肿。并对文献进行了综述。