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1
Rupture of portal vein pseudoaneurysm caused by impinging infected walled off pancreatic necrosis (WOPN): a rare complication.由侵袭性感染性包裹性胰腺坏死（WOPN）导致的门静脉假性动脉瘤破裂：一种罕见的并发症。
BMJ Case Rep. 2021 Mar 10;14(3):e239045. doi: 10.1136/bcr-2020-239045.
2
Removing lumen-apposing metal stent stopped bleeding from splenic artery pseudoaneurysm during transmural drainage of walled-off pancreatic necrosis.在内镜下引流包裹性胰腺坏死期间，移除腔内贴壁金属支架可止住脾动脉假性动脉瘤出血。
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Endoscopic ultrasound-guided transmural drainage of walled-off pancreatic necrosis in patients with portal hypertension and intra-abdominal collaterals.内镜超声引导下对门静脉高压和腹腔内侧支循环患者的包裹性胰腺坏死进行经壁引流。
Indian J Gastroenterol. 2017 Sep;36(5):400-404. doi: 10.1007/s12664-017-0792-y. Epub 2017 Oct 2.
4
Safety and efficacy of angioembolisation followed by endoscopic ultrasound guided transmural drainage for pancreatic fluid collections associated with arterial pseudoaneurysm.血管栓塞后内镜超声引导经壁引流治疗与假性动脉瘤相关的胰腺液体积聚的安全性和有效性。
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Endoscopic ultrasound-guided pancreatic fluid collections' transmural drainage outcomes in 100 consecutive cases of pseudocysts and walled off necrosis: a single-centre experience from the United Kingdom.内镜超声引导下胰液积聚经壁引流治疗100例连续性假性囊肿和包裹性坏死的结果：来自英国的单中心经验
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Multiple transluminal gateway technique for EUS-guided drainage of symptomatic walled-off pancreatic necrosis.超声内镜引导下经皮穿刺引流治疗有症状的包裹性坏死性胰腺炎的多通道经壁技术。
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Hepatic abscess occurred one year after endoscopic transmural management of an infected, walled-off pancreatic necrosis.肝脓肿发生在经内镜透壁处理感染性、包裹性胰腺坏死一年后。
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Non-fluoroscopic endoscopic ultrasound-guided transmural drainage of symptomatic non-bulging walled-off pancreatic necrosis.非透视内镜超声引导下有症状非膨出性包裹性胰腺坏死的经壁引流术。
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EUS-guided drainage using lumen apposing metal stent and percutaneous endoscopic necrosectomy as dual approach for the management of complex walled-off necrosis: a case report and a review of the literature.使用管腔贴附金属支架的超声内镜引导下引流术和经皮内镜坏死组织清除术作为治疗复杂包裹性坏死的双重方法：一例病例报告及文献综述
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Multivariate analysis of the factors affecting the prognosis of walled-off pancreatic necrosis after endoscopic ultrasound-guided drainage.经内镜超声引导引流术后影响胰腺假性囊肿预后的多因素分析。
Surg Endosc. 2020 Mar;34(3):1177-1185. doi: 10.1007/s00464-019-06870-3. Epub 2019 Jun 12.

本文引用的文献

1
Aneurysm of the Spleno-Mesenteric-Portal Confluence.脾-肠系膜-门静脉汇合处动脉瘤
Surgery. 2018 Aug;164(2):372-373. doi: 10.1016/j.surg.2018.03.021. Epub 2018 May 8.
2
Increased Incidence of Pseudoaneurysm Bleeding With Lumen-Apposing Metal Stents Compared to Double-Pigtail Plastic Stents in Patients With Peripancreatic Fluid Collections.与双猪尾塑料支架相比， lumen- 吻合金属支架在胰周积液患者中假性动脉瘤出血的发生率增加。
Clin Gastroenterol Hepatol. 2018 Sep;16(9):1521-1528. doi: 10.1016/j.cgh.2018.02.021. Epub 2018 Feb 21.
3
Giant Intrahepatic Portal Vein Aneurysm: Leave it or Treat it?巨大肝内门静脉动脉瘤：留还是治？
J Clin Exp Hepatol. 2017 Mar;7(1):71-76. doi: 10.1016/j.jceh.2016.08.013. Epub 2016 Sep 1.
4
Pancreatic Pseudocyst Eroding Into the Splenoportal Venous Confluence and Mimicking an Arterial Aneurysm.
Radiol Case Rep. 2016 Oct 4;4(1):234. doi: 10.2484/rcr.v4i1.234. eCollection 2009.
5
Portal vein aneurysm: What to know.门静脉瘤：须知事项
Dig Liver Dis. 2015 Nov;47(11):918-23. doi: 10.1016/j.dld.2015.06.003. Epub 2015 Jun 19.
6
Portosplenomesenteric venous thrombosis in patients with acute pancreatitis is associated with pancreatic necrosis and usually has a benign course.急性胰腺炎患者的门脉脾静脉血栓形成与胰腺坏死有关，通常具有良性病程。
Clin Gastroenterol Hepatol. 2014 May;12(5):854-62. doi: 10.1016/j.cgh.2013.09.068. Epub 2013 Oct 23.
7
Extrahepatic portal vein aneurysm.肝外门静脉瘤
J Vasc Surg. 2011 Jul;54(1):225-6. doi: 10.1016/j.jvs.2010.05.113. Epub 2010 Aug 5.
8
Acute pancreatitis following segmental pancreatic resection associated with portal vein thrombosis and aneurysm of the spleno-mesenteric venous confluence.节段性胰腺切除术后并发门静脉血栓形成及脾-肠系膜静脉汇合处动脉瘤的急性胰腺炎。
Acta Chir Belg. 2007 Jul-Aug;107(4):405-8. doi: 10.1080/00015458.2007.11680083.
9
Portal vein erosion and acute abdominal hemorrhage as a complication of acute pancreatitis.门静脉侵蚀和急性腹腔内出血作为急性胰腺炎的并发症
Abdom Imaging. 2003 Sep-Oct;28(5):700-2. doi: 10.1007/s00261-003-0014-1.

由侵袭性感染性包裹性胰腺坏死（WOPN）导致的门静脉假性动脉瘤破裂：一种罕见的并发症。

Rupture of portal vein pseudoaneurysm caused by impinging infected walled off pancreatic necrosis (WOPN): a rare complication.

作者信息

Mulpuri Venu Bhargava, Kumar Vipan, Rana Surinder, Gupta Rajesh

机构信息

Department of Surgical Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

BMJ Case Rep. 2021 Mar 10;14(3):e239045. doi: 10.1136/bcr-2020-239045.

DOI:10.1136/bcr-2020-239045
PMID:33692050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7949384/
Abstract

We report a case of walled off pancreatic necrosis in a patient with alcoholic pancreatitis who underwent endoscopic ultrasound-guided multiple pigtail catheter drainage. 10 days later patient presented with massive haemorrhage likely due to erosion of portal vein pseudoaneurysm caused by decubitus of pigtails. Patient required emergent portal venorrhaphy to arrest haemorrhage.

摘要

我们报告一例酒精性胰腺炎患者发生包裹性胰腺坏死，该患者接受了内镜超声引导下多猪尾导管引流术。10天后，患者出现大量出血，可能是由于猪尾导管压迫导致门静脉假性动脉瘤破裂。患者需要紧急进行门静脉修补术以止血。