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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.

DOI:10.12890/2022_003337
PMID:35774728
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9239023/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b8/9239023/e21f112fd689/3337_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b8/9239023/e21f112fd689/3337_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b8/9239023/e21f112fd689/3337_Fig1.jpg

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本文引用的文献

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J Clin Imaging Sci. 2020 Nov 11;10:72. doi: 10.25259/JCIS_169_2020. eCollection 2020.
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Hemosuccus Pancreaticus: A Great Masquerader in Patients with Upper Gastrointestinal Bleeding.胰源性腹水:上消化道出血患者中的“伪装大师”
Cureus. 2018 Dec 27;10(12):e3785. doi: 10.7759/cureus.3785.
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Hemosuccus pancreaticus: A mini-review.胰源性腹水:一篇综述
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Gastroenterology Res. 2014 Feb;7(1):32-37. doi: 10.14740/gr596w. Epub 2014 Mar 14.
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Hemosuccus Pancreaticus: 15-Year Experience from a Tertiary Care GI Bleed Centre.胰源性腹水:来自三级医疗胃肠出血中心的15年经验
ISRN Radiol. 2013 Feb 28;2013:191794. doi: 10.5402/2013/191794. eCollection 2013.
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