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内镜超声引导下成功治疗出血性胰腺假性囊肿自发性破裂

Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst.

作者信息

Park Chan, Kim Tae Hyeon, Chon Hyung Ku

机构信息

Department of Surgery, Wonkwang University College of Medicine and Hospital, Iksan, Korea.

Department of Internal Medicine, Wonkwang University College of Medicine and Hospital, Iksan, Korea.

出版信息

Clin Endosc. 2021 Sep;54(5):763-766. doi: 10.5946/ce.2020.279. Epub 2021 Mar 3.

Abstract

Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in the management of a ruptured pancreatic pseudocyst is limited. We report a rare case of a spontaneous rupture of a hemorrhagic pancreatic pseudocyst in a patient with chronic pancreatitis, which was successfully treated with EUS-guided gastrocystostomy with a fully covered self-expandable metallic stent.

摘要

出血性胰腺假性囊肿的自发破裂可能危及生命。据报道,内镜超声(EUS)引导下引流是治疗胰腺假性囊肿的一种有价值的选择。然而,其在治疗破裂胰腺假性囊肿方面的作用有限。我们报告了一例慢性胰腺炎患者出血性胰腺假性囊肿自发破裂的罕见病例,该病例通过EUS引导下胃囊肿造瘘术并置入全覆膜自膨式金属支架成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af96/8505190/7e7b77b9de9a/ce-2020-279f1.jpg

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