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- Therapeutic Embolization of Pancreaticoduodenal Artery Pseudoaneurysm Secondary to Pancreatitis
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題名 | Therapeutic Embolization of Pancreaticoduodenal Artery Pseudoaneurysm Secondary to Pancreatitis=胰臟癌引發之上胰臟十二指腸動脈偽動脈瘤的治療性栓塞術 |
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作者 | 蔡建中; 韓淑珍; 蔡宏名; 俞芹英; 牟聯瑞; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 27:1 2002.02[民91.02] |
頁次 | 頁39-43 |
分類號 | 415.54 |
關鍵詞 | 胰臟炎; 動脈瘤; 消化道出血; 動脈栓塞; Pancreatitis; Aneurysm; Gastrointestitial bleeding; Arteries; Embolization; |
語文 | 英文(English) |
中文摘要 | 內臟血管病變是胰臟炎常見的後遺症,它甚至可引發腸胃道出血,在此篇我們報告一例因胰臟炎引起上胰臟十二指腸動脈偽動脈瘤;經由動脈成功地以彈簧線圈栓塞偽動脈瘤。此32歲男性病人過去曾經被診斷因酗酒引發胰臟炎,而且併發有偽囊腫和膿瘍產生,並經由表皮放置引流管治療成功。打完顯影劑後的電腦斷層檢查可以發現有一個界限很清楚的血管性病灶,令人聯想起是偽動脈瘤,腹部動脈血管攝影證實為前上胰臟十二指腸動脈瘤,而使用5個彈簧線圈後成功地將其栓塞。栓塞後出血即停止,雖然還有腹部疼痛,病人六天後因病情改善就出院了。本文描述因胰臟炎引起偽動脈瘤,造成腸胃道出血,而且成功地經由動脈栓塞治療成功。 |
英文摘要 | Visceral vessel lesions are known complication of pancreatitis and it may cause gastrointestinal hemorrhage. We report a case of superior pancreatico-duodenal artery pseudoaneurysm caused by pancreatitis that was successfully treated by transcatheter arterial embolization using five coil-emboli. A 32-year-old male patient admitted due to sudden onset of hematemesis and passage of fresh bloody stool. He had previous multiple admissions due to alcoholic pancreatitis complicated with pseudocyst and abscess formation that was treated by percutaneous placement of drainage catheter. CT scan study revealed a well-demarcated homogeneously hypodense mass lesion at the region of pancreatic head that enhanced markedly in the post-contrast study, suggestive of pseudoaneurysm. The celiac angiography confirmed a pseudoaneurysm of the anterior superior pancreaticoduodenal artery. The selective transarterial embolization was carried out by using five coil-spring emboli. The bleeding stopped after the embolization. He was discharged six days later in an improved condition except with abdominal pain. This paper describes a case of pseudoaneurysm secondary to pancreatitis presenting with gastrointestinal bleeding that was successfully treated with transcatheter arterial embolization. |
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