胰源性腹水：具有挑战性的诊断与治疗
Hemosuccus Pancreaticus: Challenging Diagnosis and Treatment.
作者信息
Mekheal Nader, Roman Sherif, Alkomos Mina Fransawy, Mekheal Erinie, Farokhian Alisa, Millet Christopher, Shah Hardikkumar, Melki Gabriel, Baddoura Walid
机构信息
St Joseph's University Medical Center, Paterson, NJ, USA.
出版信息
Eur J Case Rep Intern Med. 2022 May 11;9(5):003337. doi: 10.12890/2022_003337. eCollection 2022.
UNLABELLED
Hemosuccus pancreaticus (HP) is defined as bleeding from the ampulla of Vater through the pancreatic duct. It is a rare complication associated with acute or chronic pancreatitis. The source of bleeding can be from the pancreas itself or surrounding vessels, with the splenic artery most commonly involved. Diagnosing HP is challenging and computed tomography angiography remains the gold standard for diagnosis. We present the case of a 62-year-old male with recurrent pancreatitis complicated with HP. Imaging and endoscopy were consistent with bleeding from the section portion of the duodenum, which resolved without intervention.
LEARNING POINTS
Hemosuccus pancreaticus is a rare complication associated with acute or chronic pancreatitis.CT angiography is the gold standard for diagnosing hemosuccus pancreaticus.Arterial embolization is the first-line treatment of hemosuccus pancreaticus.
未标注
胰源性出血（HP）定义为通过胰管从 Vater 壶腹出血。它是一种与急性或慢性胰腺炎相关的罕见并发症。出血来源可能是胰腺本身或周围血管，最常累及脾动脉。诊断 HP 具有挑战性，计算机断层扫描血管造影术仍是诊断的金标准。我们报告一例 62 岁男性复发性胰腺炎合并 HP 的病例。影像学和内镜检查结果与十二指肠节段性出血相符，未经干预出血自行缓解。
学习要点
胰源性出血是一种与急性或慢性胰腺炎相关的罕见并发症。CT 血管造影术是诊断胰源性出血的金标准。动脉栓塞是胰源性出血的一线治疗方法。
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