中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

慢性胰腺炎致脾动脉假性动脉瘤破裂出血表现为上消化道出血1例报告

亓文磊 张建伟 姬静伟 周建鹏 魏锋 杜晓宏 王广义

引用本文:
Citation:

慢性胰腺炎致脾动脉假性动脉瘤破裂出血表现为上消化道出血1例报告

DOI: 10.3969/j.issn.1001-5256.2018.04.033
详细信息
  • 中图分类号: R657.51

Upper gastrointestinal hemorrhage caused by splenic artery pseudoaneurysm rupture due to chronic pancreatitis: a case report

  • 摘要:

    <正>1病例资料患者男性,57岁,近10年来反复发作胰腺炎,每次发作表现为中上腹部间歇性疼痛,伴大汗淋漓、腰背部放射痛,持续约10 min,口服"去痛片"后可逐渐缓解,偶有恶心、呕吐,呕吐物均为胃内容物。患者曾就诊于多家医院,均对症支持治疗好转后出院。患者2个月前检查发现胰管结石,于外院行内镜下胰管结石取出、胰管支架植入术,术后出现呕血、黑便、重度贫血,行止血、输血等对症治疗后好转出院。患者出院后仍间断腹痛,未再呕血、黑便,现为求进一步诊治,暂以"上消化道出血、慢性胰腺炎"收入本科治疗。查体:中上腹部轻压痛,余无明

     

  • [1]SUGO H, MIYANO S, KOSAKA T, et al.Splenic artery pseudoaneurysm penetrating to the stomach[J].Surgery, 2017, 161 (6) :1737-1738.
    [2]OAKLEY E, HO JD, JOHNSON V, et al.Splenic artery aneurysm:an important cause of hemoperitoneum and shock[J].J Emerg Med, 2014, 46 (3) :e65-e67.
    [3]GABRIELLI D, TAGLIALATELA F, MANTINI C, et al.Endovascular treatment of visceral artery pseudoaneurysms in patients with chronic pancreatitis:our single-center experience[J].Ann Vasc Surg, 2017, 45:112-116.
    [4]MUKHERJEE P, RAY S, BHATTACHARJEE P.Endovascular treatment of splenic artery pseudoaneurysm[J].J Indian Coll Cardiol, 2017, 7 (1) :25-27.
    [5]CZERNIK M, STEFANCZYK L, SZUBERT W, et al.Endovascular treatment of pseudoaneurysms in pancreatitis[J].Wideochir Inne Tech Maloinwazyjne, 2014, 9 (2) :138-144.
    [6]TESSIER DJ, STONE WM, FOWL RJ, et al.Clinical features and management of splenic artery pseudoaneurysm:case series and cumulative review of literature[J].J Vasc Surg, 2003, 38 (5) :969-974.
    [7]EFTIMIE MA, STANCIULEA OM, DAVID L, et al.Surgical treatment of splenic artery pseudoaneurysm with digestive tract communicationpresentation of two cases[J].Chirurgia (Bucur) , 2017, 112 (2) :157-164.
    [8]RAI P, BHERA B, SHARMA M.First report of successful treatment of splenic artery pseudoaneurysm with endoscopic ultrasound-guided coil and glue[J].Endoscopy, 2017, 49 (7) :e179-e180.
    [9]MIZUKAMI K, MURAKAMI K.Effects of vonoprazan on intractable non-steroidal anti-inflammatory drug-induced ulcers that cannot be controlled with conventional proton pump inhibitors[J].Dig Endosc, 2017, 29 (2) :233-234.
  • 加载中
计量
  • 文章访问数:  2300
  • HTML全文浏览量:  7
  • PDF下载量:  399
  • 被引次数: 0
出版历程
  • 出版日期:  2018-04-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回