肝胆胰外科杂志2026，Vol.38Issue(2)：139-142,4.DOI:10.11952/j.issn.1007-1954.2026.02.010
胰腺假性囊肿空肠吻合术后脾动脉假性动脉瘤破裂出血一例
Hemorrhage of splenic artery pseudoaneurysm after jejunostomy of pancreatic pseudocyst:A case report
闫薇 1张茜 1季茹 1陈建雄 1蔡庆 1霍枫1
作者信息
- 1. 南部战区总医院肝胆外科、器官移植科,广东 广州 510010
- 折叠
摘要
Abstract
A 51-year-old female with a history of severe acute pancreatitis developed pancreatic pseudocysts(PPC)and an associated splenic artery pseudoaneurysm(SAPA).She underwent PPC jejunostomy Roux-en-Y anastomosis.Intraoperatively,a 5.0 mm pulsatile nodule suggestive of SAPA was identified but not treated due to severe inflammatory adhesions.On postoperative day 5,the patient experienced life-threatening hemorrhage due to SAPA rupture.Emergency laparotomy with suture ligation followed by selective splenic artery embolization successfully controlled the bleeding.The patient recovered well with no recurrence of PPC or complications during 3-year follow-up.This case underscores the importance of preoperative vascular assessment and proactive management of SAPA when planning internal drainage procedures.关键词
胰腺假性囊肿/假性动脉瘤/出血/Roux-en-Y吻合Key words
pancreatic pseudocyst/pseudoaneurysm/hemorrhage/Roux-en-Y anastomosis分类
医药卫生引用本文复制引用
闫薇,张茜,季茹,陈建雄,蔡庆,霍枫..胰腺假性囊肿空肠吻合术后脾动脉假性动脉瘤破裂出血一例[J].肝胆胰外科杂志,2026,38(2):139-142,4.
