Stösslein F, Zimmermann L, Bulang T
Krankenhaus Dresden-Friedrichstadt, Friedrichstr. 41, 01067 Dresden, Germany.
J Hepatobiliary Pancreat Surg. 1998;5(3):344-7. doi: 10.1007/s005340050057.
Pseudoaneurysm following chronic pancreatitis is a severe complication that can lead to massive gastrointestinal bleeding. Surgical treatment means high risk for the patient. We report on two patients in whom the bleeding was managed by percutaneous transvascular embolization, a relatively non-invasive and successful method with low risk. The goal was either the definitive arrest of bleeding or stabilization of the patient to enable a surgical procedure. Embolization coils are the material most utilized for vessel occlusion. In patients with bleeding complication following pancreatitis, if sonography or computed tomography demonstrates a pseudoaneurysm, we recommend angiographic visualization and immediate subsequent embolization.
慢性胰腺炎后假性动脉瘤是一种可导致大量胃肠道出血的严重并发症。手术治疗对患者意味着高风险。我们报告了两名患者，其出血通过经皮经血管栓塞术得到处理，这是一种相对无创且成功、风险低的方法。目标要么是彻底止血，要么是使患者病情稳定以便进行外科手术。栓塞线圈是最常用于血管闭塞的材料。对于胰腺炎后有出血并发症的患者，如果超声检查或计算机断层扫描显示有假性动脉瘤，我们建议进行血管造影显影并随后立即进行栓塞。
