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[梗阻性黄疸的罕见病因:胰周假性动脉瘤]

[A rare cause of obstructive jaundice: peripancreatic pseudoaneurysm].

作者信息

Bécheur H, Zins M, Lévy P, Vilgrain V, Menu Y, Bernades P

机构信息

Service de Gastroentérologie, Hôpital Beaujon, Clichy.

出版信息

Gastroenterol Clin Biol. 1996;20(12):1131-4.

PMID:9033859
Abstract

We report the case of a 54-year-old-man with alcoholic calcified chronic pancreatitis complicated by jaundice and abdominal pain. Investigations (Doppler ultrasonography examination and computed tomography scan) showed peripancreatic pseudoaneurysm of the posterior and inferior pancreatico-duodenal artery and a dilatation of the common bile duct. Selective embolization of the pseudoaneurysm resulted in rapid regression of both jaundice and abdominal pain. Common bile diet compression is a rare complication of peripancreatic pseudoaneurysm. Selective embolization seems to be the first line treatment in this indication.

摘要

我们报告了一例54岁男性患者,患有酒精性钙化性慢性胰腺炎,并发黄疸和腹痛。检查(多普勒超声检查和计算机断层扫描)显示胰十二指肠后下动脉周围假性动脉瘤以及胆总管扩张。对假性动脉瘤进行选择性栓塞后,黄疸和腹痛迅速消退。胆总管受压是胰周假性动脉瘤的一种罕见并发症。选择性栓塞似乎是该适应症的一线治疗方法。

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