Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
Health Management Centre, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China.
Medicine (Baltimore). 2023 Feb 3;102(5):e32834. doi: 10.1097/MD.0000000000032834.
Visceral artery pseudoaneurysm is a rare complication of chronic pancreatitis (CP), all pancreatic or peripancreatic arteries have been reported to be involved, while hepatic artery is less common.
This case report illustrated a 42-year-old man with CP who developed right hepatic artery pseudoaneurysm (HAP), and finally he was treated with intravascular embolization.
The patient suffered from HAP due to acute attack of CP.
The pseudoaneurysm located in a fine branch of right hepatic artery was embolized.
The HAP of the patient was cured. He had no recurrent bloody stool or abdominal pain. The symptoms gradually relieved.
Herein, we report a patient with CP who developed right HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, and a literature review is also presented. HAP caused by CP is a rare disease in the clinic, but rupture of pseudoaneurysm is fatal. Careful evaluation, early detection, and prompt treatment should be performed when the patient is admitted and followed up.
内脏动脉假性动脉瘤是慢性胰腺炎（CP）的一种罕见并发症，所有胰腺或胰周动脉都有受累的报道，而肝动脉则较少见。
本病例报告了 1 例 42 岁男性 CP 患者发生右肝动脉假性动脉瘤（HAP），最终采用血管内栓塞治疗。
患者因 CP 急性发作而发生 HAP。
假性动脉瘤位于右肝动脉的细支，进行了栓塞。
患者的 HAP 得到治愈。他没有再次出现血便或腹痛，症状逐渐缓解。
本文报告了 1 例 CP 患者发生右 HAP 导致感染性血肿、胃肠道出血和阻塞性黄疸，并进行了文献复习。CP 引起的 HAP 在临床上较为罕见，但假性动脉瘤破裂是致命的。当患者入院和随访时，应进行仔细评估、早期发现和及时治疗。
