Gastroenterology, Topiwala National Medical College, Mumbai, India
Gastroenterology, Topiwala National Medical College, Mumbai, India.
BMJ Case Rep. 2022 Jul 12;15(7):e248946. doi: 10.1136/bcr-2022-248946.
A pancreatic pseudoaneurysm can occur following an attack of pancreatitis. This occurs due to erosion of the pancreatic or peripancreatic artery by the pancreatic enzyme-rich pancreatic secretion pseudocyst. If left untreated, it may cause massive and even fatal haemorrhage. Interventional radiology with coil embolisation of the pseudoaneurysm is the standard of care in such cases. We describe a patient who developed a pseudoaneurysm involving the origin of the gastroduodenal artery (GDA). This was successfully managed by coil embolisation of the pseudoaneurysm along with placement of a flow diverter-like stent in the common hepatic artery across the origin of the GDA leading to exclusion of the diseased segment.
胰腺假性动脉瘤可发生于胰腺炎发作后。这是由于富含胰酶的胰腺分泌物假性囊肿侵蚀胰腺或胰周动脉所致。如果不治疗,可能会导致大量甚至致命的出血。对于这种情况,介入放射学用线圈栓塞假性动脉瘤是标准的治疗方法。我们描述了一例患者,其发生了累及胃十二指肠动脉(GDA)起源处的假性动脉瘤。通过对假性动脉瘤进行线圈栓塞,并在跨过 GDA 起源处的肝总动脉内放置一个类似血流分流器的支架,从而使病变节段被排除在外,成功地对其进行了治疗。