Department of Stomach and Esophageal Surgery, Clinic for Digestive Surgery, University Clinical Centre of Serbia, Koste Todorovica Street No. 6, 11000 Belgrade, Serbia.
Department for Surgery with Anesthesiology, Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia.
Medicina (Kaunas). 2024 Apr 26;60(5):714. doi: 10.3390/medicina60050714.
The occurrence of the pseudoaneurysm of visceral arteries in the field of chronic pancreatitis is a very rare complication that represents a life-threatening condition. The higher frequency of this complication is in the necrotic form of pancreatic inflammation, especially in patients with formed peripancreatic necrotic collections. The degradation of the arterial wall leads to bleeding and transforms these necrotic collections into a pseudoaneurysm. Urgent endovascular angioembolization is the first choice in the therapeutic approach as a valid minimally invasive solution with very satisfactory immediate and long-term outcomes. This successfully avoids open surgery, which is associated with a high mortality rate in these patients, especially in acute-on-chronic pancreatitis.
内脏动脉假性动脉瘤在慢性胰腺炎领域是一种非常罕见的并发症，代表着危及生命的情况。这种并发症的发生频率更高见于胰腺炎症的坏死形式，特别是在形成胰周坏死性积聚的患者中。动脉壁的降解导致出血，并使这些坏死性积聚转化为假性动脉瘤。在治疗方法中，紧急血管内血管栓塞是首选，作为一种有效的微创解决方案，具有非常满意的即刻和长期效果。这成功地避免了开放性手术，因为在这些患者中，尤其是在慢性胰腺炎急性发作的患者中，开放性手术与高死亡率相关。
