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胰十二指肠动脉动脉瘤破裂：血管造影介入诊断与治疗

Ruptured pancreaticoduodenal arterial aneurysms: diagnosis and treatment by angiographic intervention.

作者信息

Moore-Stovall J

机构信息

Department of Radiology, Dwight D. Eisenhower Veterans Affairs Medical Center, Leavenworth, Kansas 66048.

出版信息

J Natl Med Assoc. 1995 Feb;87(2):149-51.

PMID:7897688
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2607780/
Abstract

This article describes a 54-year-old patient who presented with a long history of epigastric pain. Laboratory values revealed a decreased red blood cell count, decreased hemoglobin level, and positive stool hemoccult test. A computed tomography scan of the abdomen revealed intra-abdominal and retroperitoneal hematomas. Emergency laparotomy was performed, but a bleeding source was not evident. Superselective angiography demonstrated bleeding aneurysms of the pancreaticoduodenal artery. Coil embolization with angiography guidance was successful in arresting the bleeding sites.

摘要

本文描述了一名54岁的患者，他有长期的上腹部疼痛病史。实验室检查结果显示红细胞计数减少、血红蛋白水平降低，且粪便潜血试验呈阳性。腹部计算机断层扫描显示腹内和腹膜后血肿。进行了急诊剖腹手术，但未发现明显的出血源。超选择性血管造影显示胰十二指肠动脉有出血性动脉瘤。在血管造影引导下进行的线圈栓塞成功地止住了出血部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/bea98c0e9aa1/jnma00391-0072-h.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/074e0ab350b4/jnma00391-0072-e.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/ed58c332973b/jnma00391-0072-f.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/682d3e755817/jnma00391-0072-g.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/bea98c0e9aa1/jnma00391-0072-h.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/6497bcda72de/jnma00391-0072-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/63418656ce21/jnma00391-0072-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/21087a999178/jnma00391-0072-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/69861e6281d5/jnma00391-0072-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/074e0ab350b4/jnma00391-0072-e.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/ed58c332973b/jnma00391-0072-f.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/682d3e755817/jnma00391-0072-g.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62e1/2607780/bea98c0e9aa1/jnma00391-0072-h.jpg

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本文引用的文献

1
True aneurysm of the pancreaticoduodenal artery: a case report and review of the literature.胰十二指肠动脉真性动脉瘤：一例报告并文献复习
J Vasc Surg. 1985 Sep;2(5):741-2. doi: 10.1067/mva.1985.avs0020741.
2
Gastroduodenal artery aneurysm presenting as chronic gastrointestinal blood loss.表现为慢性胃肠道失血的胃十二指肠动脉动脉瘤
Am J Gastroenterol. 1986 Jan;81(1):29-32.
3
Two cases of aneurysm of the inferior pancreatico-duodenal artery: a review of treatment.两例胰十二指肠下动脉瘤：治疗综述
J R Coll Surg Edinb. 1987 Oct;32(5):324-5.
4
A rare cause of digestive hemorrhage: an aneurysm of the superior pancreaticoduodenal artery rupturing into the duodenal stump of a Billroth II partial gastrectomy.消化性出血的罕见病因：胰十二指肠上动脉动脉瘤破裂至毕罗Ⅱ式部分胃切除术后十二指肠残端
Surg Today. 1992;22(3):273-5. doi: 10.1007/BF00308835.