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酷似胰头癌的胰十二指肠动脉瘤

Pancreaticoduodenal artery aneurysm simulating carcinoma of the head of the pancreas.

作者信息

Scheflan M, Kadir S, Athanasoulis C A, Hedberg S E

出版信息

Arch Surg. 1977 Oct;112(10):1201-3. doi: 10.1001/archsurg.1977.01370100055010.

DOI:10.1001/archsurg.1977.01370100055010
PMID:907463
Abstract

Aneurysms of the pancreaticoduodenal arcades, although uncommon, may rupture and produce symptoms similar to those of pancreatic carcinoma. We describe one patient with a ruptured interior pancreaticoduodenal artery aneurysm and a large hematoma in the pancreatic head. He had a three-week history of painless jaundice. Angiography was essential in establishing the diagnosis and defining a vascular road map preoperatively. The surgical management involved resection of the aneurysm and vascular reconstruction.

摘要

胰十二指肠动脉弓动脉瘤虽不常见,但可能破裂并产生与胰腺癌相似的症状。我们描述了一名患有胰十二指肠动脉内侧动脉瘤破裂并在胰头形成巨大血肿的患者。他有三周无痛性黄疸病史。血管造影对于术前明确诊断和确定血管路径图至关重要。手术治疗包括动脉瘤切除和血管重建。

相似文献

1
Pancreaticoduodenal artery aneurysm simulating carcinoma of the head of the pancreas.酷似胰头癌的胰十二指肠动脉瘤
Arch Surg. 1977 Oct;112(10):1201-3. doi: 10.1001/archsurg.1977.01370100055010.
2
[Digestive hemorrhage caused by rupture of an aneurysm of the superior pancreaticoduodenal artery].[胰十二指肠上动脉动脉瘤破裂引起的消化道出血]
Minerva Chir. 1991 Jun 30;46(12):695-8.
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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.
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[False ruptured aneurysm of the pancreaticoduodenal artery. A rare cause of duodenal stenosis].[胰十二指肠动脉假性破裂动脉瘤。十二指肠狭窄的罕见原因]
Chirurg. 1991 Mar;62(3):217-20.
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Angiography as an aid in extra-enteric gastrointestinal bleeding due to visceral artery aneurysm.血管造影术辅助诊断内脏动脉瘤所致的肠外胃肠道出血。
Ann Surg. 1978 Apr;187(4):357-61. doi: 10.1097/00000658-197804000-00002.
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Pancreaticoduodenal arterial aneurysms.胰十二指肠动脉瘤
Ann Surg. 1977 Jul;186(1):111-4. doi: 10.1097/00000658-197707000-00016.
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Spontaneous obliteration of pancreaticoduodenal artery aneurysm after retroperitoneal hemorrhage.腹膜后出血后胰十二指肠动脉瘤的自发闭塞
Cardiovasc Intervent Radiol. 1983;6(1):47-50. doi: 10.1007/BF02552792.
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True aneurysms of the pancreaticoduodenal artery: a rare cause of retroperitoneal bleeding and delayed diagnosis.胰十二指肠动脉真性动脉瘤:腹膜后出血及诊断延迟的罕见原因。
Br J Surg. 1988 Jul;75(7):721. doi: 10.1002/bjs.1800750735.
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Duodenal stenosis caused by ruptured aneurysms of the pancreaticoduodenal artery--a case report.胰十二指肠动脉破裂导致的十二指肠狭窄——病例报告
Jpn J Surg. 1989 Jan;19(1):63-6. doi: 10.1007/BF02471568.
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Surgical Resection of a Ruptured Pancreaticoduodenal Artery Aneurysm.破裂性胰十二指肠动脉瘤的手术切除
Am J Case Rep. 2016 Jan 22;17:39-42. doi: 10.12659/ajcr.895782.

引用本文的文献

1
Obstructive jaundice as a rare complication of multiple pancreaticoduodenal artery aneurysms due to median arcuate ligament syndrome: a case report and review of the literature.因正中弓状韧带综合征导致多发性胰十二指肠动脉动脉瘤引起的阻塞性黄疸:一例病例报告及文献复习。
J Med Case Rep. 2023 Sep 10;17(1):385. doi: 10.1186/s13256-023-04114-6.