Nakayama Keita, Shimohira Masashi, Nagai Keiichi, Ohta Kengo, Kawai Tatsuya, Sawada Yusuke, Shibata Shunsuke, Shibamoto Yuta
Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan.
Radiol Case Rep. 2021 Aug 1;16(10):2869-2872. doi: 10.1016/j.radcr.2021.06.090. eCollection 2021 Oct.
A 64-year-old man presented with epigastric pain and underwent contrast-enhanced computed tomography. Ruptured aneurysm of the inferior pancreaticoduodenal artery was diagnosed. TAE was successfully accomplished using coils, but vomiting appeared 9 days later. Duodenal stenosis was diagnosed from contrast-enhanced computed tomography and upper gastrointestinal endoscopy and was attributed to edematous changes in the duodenum. Conservative management led to successful recovery and discharge.
一名64岁男性因上腹部疼痛就诊并接受了增强计算机断层扫描。诊断为胰十二指肠下动脉破裂性动脉瘤。使用弹簧圈成功完成了经动脉栓塞术,但9天后出现呕吐。通过增强计算机断层扫描和上消化道内镜检查诊断为十二指肠狭窄,原因是十二指肠的水肿性改变。保守治疗使患者成功康复并出院。