因与胰腺假性囊肿相关的假性动脉瘤导致的胰血综合征引起的血便。

Hematochezia secondary to hemosuccus pancreaticus due to a pseudoaneurysm associated with a pancreatic pseudocyst.

机构信息

Radiodiagnóstico, Hospital Clínico Universitario San Cecilio, España.

Aparato Digestivo, Hospital Clínico Universitario San Cecilio.

出版信息

Rev Esp Enferm Dig. 2021 Aug;113(8):618. doi: 10.17235/reed.2020.7376/2020.

DOI:10.17235/reed.2020.7376/2020

PMID:33267592

Abstract

The patient had a history of recurrent acute necrotizing pancreatitis, chronic pancreatitis and a pancreatic pseudocyst with an associated pseudoaneurysm in the superior mesenteric artery. He presented mesogastric pain, nausea, 187 U/l amylase and 242 U/l lipase. A hemorrhagic appearance inside the pseudocyst and lumen of the common bile duct was seen on ultrasound.

摘要

患者有反复发作的急性坏死性胰腺炎、慢性胰腺炎和位于肠系膜上动脉的胰腺假性囊肿伴发假性动脉瘤病史。他表现为胃脘痛、恶心、血清淀粉酶 187U/L、脂肪酶 242U/L。超声检查显示假性囊肿内部和胆总管腔内有出血外观。