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经导管动脉栓塞治疗胰十二指肠下动脉瘤破裂后发生的十二指肠狭窄

Duodenal stenosis after transcatheter arterial embolization for rupture of an inferior pancreaticoduodenal aneurysm.

作者信息

Nakayama Keita, Shimohira Masashi, Nagai Keiichi, Ohta Kengo, Kawai Tatsuya, Sawada Yusuke, Shibata Shunsuke, Shibamoto Yuta

机构信息

Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan.

出版信息

Radiol Case Rep. 2021 Aug 1;16(10):2869-2872. doi: 10.1016/j.radcr.2021.06.090. eCollection 2021 Oct.

DOI:10.1016/j.radcr.2021.06.090
PMID:34401015
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8350007/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/c80805ce7ed7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/2d2c45205498/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/234c176e9fb1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/2613e91c31de/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/372ffc43950c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/c80805ce7ed7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/2d2c45205498/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/234c176e9fb1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/2613e91c31de/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/372ffc43950c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ab/8350007/c80805ce7ed7/gr5.jpg

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本文引用的文献

1
[Duodenal obstruction after transarterial embolization for rupture of a pancreaticoduodenal artery aneurysm due to segmental arterial mediolysis:a case report].[节段性动脉中层溶解致胰十二指肠动脉瘤破裂行经动脉栓塞术后十二指肠梗阻：一例报告]
Nihon Shokakibyo Gakkai Zasshi. 2019;116(6):515-522. doi: 10.11405/nisshoshi.116.515.
2
Embolization of Nonvariceal Upper Gastrointestinal Hemorrhage Complicated by Bowel Ischemia.非静脉曲张性上消化道出血合并肠缺血的栓塞治疗
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Visceral artery pseudoaneurysm: predictive factors for clinical success after transarterial embolization.
内脏动脉假性动脉瘤：经动脉栓塞术后临床成功的预测因素
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[A case report of duodenal obstruction due to retroperitoneal bleeding after the rupture of a lower pancreaticoduodenal artery aneurysm].[一例胰十二指肠下动脉动脉瘤破裂后腹膜后出血致十二指肠梗阻的病例报告]
Nihon Shokakibyo Gakkai Zasshi. 2017;114(4):667-675. doi: 10.11405/nisshoshi.114.667.
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