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1例镰状细胞病患者内镜逆行胰胆管造影(ERCP)术后并发胰腺炎和假性动脉瘤形成的罕见病例:一种值得探究的关联

A Rare Case of a Sickle Cell Patient With Post Endoscopic Retrograde Cholangiopancreatography (ERCP) Pancreatitis and Pseudoaneurysm Formation: An Association Worth Exploring.

作者信息

Wong Vincent, Ali Hasan, Amer Kamal, Ahlawat Sushil

机构信息

Internal Medicine-Pediatrics, Rutgers University New Jersey Medical School, Newark, USA.

Internal Medicine, Rutgers University New Jersey Medical School, Newark, USA.

出版信息

Cureus. 2022 Jan 31;14(1):e21780. doi: 10.7759/cureus.21780. eCollection 2022 Jan.

Abstract

Pancreatitis is commonly seen with alcohol use and gallstones, but it can be a post-procedural complication from endoscopic retrograde cholangiopancreatography (ERCP). Inflammation of the pancreas can lead to pseudoaneurysm formation, which is rare but extremely dangerous if ruptures, with high mortality and morbidity. Sickle cell disease can also cause vascular injury from repeated vaso-occlusion, inflammation, and ischemia. Here, we present a case of a 27-year-old patient with sickle cell disease who underwent ERCP for stent placement for gallstones and subsequently developed pancreatitis complicated by pseudoaneurysm formation of the inferior pancreaticoduodenal artery (IPDA) that was managed by endovascular embolization.

摘要

胰腺炎常见于饮酒和胆结石患者,但它也可能是内镜逆行胰胆管造影术(ERCP)后的一种并发症。胰腺炎症可导致假性动脉瘤形成,这种情况虽罕见,但一旦破裂则极其危险,死亡率和发病率都很高。镰状细胞病也可因反复的血管闭塞、炎症和缺血而导致血管损伤。在此,我们报告一例27岁镰状细胞病患者,该患者因胆结石接受ERCP支架置入术,随后发生胰腺炎,并并发胰十二指肠下动脉(IPDA)假性动脉瘤形成,最终通过血管内栓塞治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/944f/8890677/762809d1e888/cureus-0014-00000021780-i01.jpg

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