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离一种诊断不足的疾病更近一步:胰源性出血,一种上消化道出血的罕见病因。

Getting Closer to an Underdiagnosed Disease: Hemosuccus Pancreaticus, a Rare Cause of Upper Gastrointestinal Bleeding.

作者信息

Cardona José D, Beltrán Saavedra Julián Alberto, Rueda Maria, Blanco Andrea, Muñoz Quiroga Luisa M, Hernandez Buelvas José M

机构信息

Radiology, University Hospital Fundación Santa Fé de Bogotá, Bogotá, COL.

Radiology, Instituto Nacional de Cancerología, Bogotá, COL.

出版信息

Cureus. 2022 Oct 29;14(10):e30837. doi: 10.7759/cureus.30837. eCollection 2022 Oct.

Abstract

Hemosuccus pancreaticus is a rare cause of upper gastrointestinal hemorrhage. It is mainly produced by bleeding from a pseudoaneurysm that runs through the pancreatic duct and flows into the second portion of the duodenum. This article presents a case of a patient in the sixth decade of life with upper gastrointestinal bleeding who underwent a computed tomography (CT) scan of the abdomen finding a pseudoaneurysm of the gastroduodenal artery. Subsequently, angiography confirmed active bleeding from the pseudoaneurysm, requiring endovascular treatment by interventional radiology, which was successful with the resolution of the bleeding. In this article, our aim is to expand the information on this pathology and to promote the optimization of diagnostic tests for the timely treatment of this rare disease that is potentially life-threatening.

摘要

胰源性腹水是上消化道出血的罕见原因。它主要由穿过胰管并流入十二指肠第二部的假性动脉瘤出血引起。本文介绍了一例60多岁上消化道出血患者的病例,该患者接受腹部计算机断层扫描(CT)发现胃十二指肠动脉假性动脉瘤。随后,血管造影证实假性动脉瘤有活动性出血,需要介入放射科进行血管内治疗,治疗成功,出血得到解决。在本文中,我们的目的是扩充关于这种病理情况的信息,并促进诊断测试的优化,以便及时治疗这种可能危及生命的罕见疾病。

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