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胰腺假性动脉瘤继发胃肠道出血

[Gastrointestinal hemorrhage secondary to a pancreatic pseudoaneurysm].

作者信息

Ginard Vicens D, Llompart Rigo A, Bonet Vidal L, Sapiña Camaró A, Gayá Cantallops J, Pueyo Mur J, Vaquer Arnau P, Riera Oliver J, Sansó Sureda A, Garrido Durán C, Obrador Adrover A

机构信息

Servicio de Digestivo, Hospital Son Dureta, Palma de Mallorca.

出版信息

Gastroenterol Hepatol. 1997 Nov;20(9):452-5.

PMID:9445739
Abstract

Acute hemorrhage from pancreatic pseudoaneurysm is the most rapidly fatal complication of pancreatitis, with a reported mortality rate of > 90% in untreated patients. The diagnosis of pancreatic pseudoaneurysm requires a high index of suspicion and the abdominal angiography is the gold standard. Transcatheter embolization is an alternative to surgery for treatment in selected patients. Early diagnosis and treatment decrease the mortality dramatically. We describe a patient with a gastrointestinal bleeding from a ruptured pancreatic pseudoaneurysm, with an angiography diagnosis and transcatheter embolization. We treated the pseudocyst with an endoscopic drainage. A review of literature is presented.

摘要

胰腺假性动脉瘤急性出血是胰腺炎最迅速致命的并发症,据报道,未经治疗的患者死亡率>90%。胰腺假性动脉瘤的诊断需要高度怀疑,腹部血管造影是金标准。经导管栓塞是部分患者手术治疗的替代方法。早期诊断和治疗可显著降低死亡率。我们描述了一名因破裂的胰腺假性动脉瘤导致胃肠道出血的患者,通过血管造影诊断并进行了经导管栓塞治疗。我们采用内镜引流治疗了假性囊肿。并对文献进行了综述。

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