临床误诊误治2016，Vol.29Issue(9)：26-28,3.DOI:10.3969/j.issn.1002-3429.2016.09.010
胰腺炎并假性动脉瘤继发消化道大出血诊治剖析
Diagnosis and Treatment Analysis of Massive Gastrointestinal Hemorrhage from Pseudoaneurysm Caused by Pancreatitis
蒋海涛 1陈银 1周本刚 1王红1
作者信息
- 1. 563003 贵州 遵义，遵义医学院附属医院消化内科
- 折叠
摘要
Abstract
Objective To investigate the key points of diagnosis and treatment of pancreatic pseudoneurysm compli-cated with massive gastrointestinal hemorrhage. Methods Clinical data of a pancreatitis patient complicated with pseudoan-eurgs clinically manifested by massive hemorrhage was retrospectively analyzed, and the relevant literatures were reviewed. Results The patient was admitted for abdominal pain, hematemesis and tarry stool for a week, and had a history of pancreati-tis for 5 years. The patient with the major clinical symptom of massive gastrointestinal hemorrhage was diagnosed by abdominal enhanced CT, and then checked by digital subtraction angiography ( DSA) . The patient was treated by transcatheter arterial embolism ( TAE ) . After remobilization, clinical symptom was significantly alleviated, and discharged from hospital. CT showed no bleeding foci after 11 months of follow up after discharge, no gastrointestinal hemorrhage recurred. Conclusion Pancreatic pseudoneurysm is one of the rare complications of chronic pancreatitis. CT, DSA are the main diagnosis methods, and TAE is a safe and effective method for treatment of pancreatitis with pseudoaneurysm.关键词
胰腺炎/动脉瘤,假性/胃肠出血/栓塞,治疗性Key words
Pancreatitis/Aneurysm, false/Gastrointestinal hemorrhage/Remobilization, therapeutic分类
医药卫生引用本文复制引用
蒋海涛,陈银,周本刚,王红..胰腺炎并假性动脉瘤继发消化道大出血诊治剖析[J].临床误诊误治,2016,29(9):26-28,3.
