Orr K B
St George Hospital, Sydney, New South Wales, Australia.
Aust N Z J Surg. 1996 Dec;66(12):843-5. doi: 10.1111/j.1445-2197.1996.tb00766.x.
Direct fistula between the splenic, artery and the pancreatic duct is briefly reviewed. The literature indicates that such a fistula is almost always due to a pancreatic artery aneurysm. Because of diagnostic difficulties, a variety of operations have been performed on these patients prior to arriving at the correct diagnosis. A patient's history of direct fistula between the splenic artery and the pancreatic duct, causing recurrent haemorrhage and eventual death from massive blood loss, is described. Unlike other reported cases, this was not associated with an angiographically demonstrable aneurysm of the splenic artery. Treatment by distal pancreatectomy or radiologically guided pancreatic artery embolization is discussed.
对脾动脉与胰管之间的直接瘘管进行简要综述。文献表明，这种瘘管几乎总是由胰腺动脉瘤引起的。由于诊断困难，在得出正确诊断之前，已对这些患者进行了各种手术。描述了一名患者脾动脉与胰管之间存在直接瘘管，导致反复出血并最终因大量失血死亡的病例。与其他报道的病例不同，该病例未伴有脾动脉造影可显示的动脉瘤。讨论了通过远端胰腺切除术或放射学引导下的胰腺动脉栓塞术进行治疗。
