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Percutaneous Transarterial Embolization of Pseudoaneurysm Secondary to Pancreatitis:A Case Report

栓塞治療胰臟炎引起之假性動脈瘤:病例報告

摘要


假性動脈瘤破裂引起腸胃道出血是少見,卻是致命的胰臟炎併發症。在治療上,即使是病情危及的病人,血管攝影加上動脈栓塞仍是最安全、且最有效的治療方法。我們報告一個經由動脈栓塞,成功治療的假性動脈瘤破裂引起大量吐血的病例,並討論胰臟炎引起之假性動脈瘤的機轉、診斷及治療。

並列摘要


Ruptured pseudoaneurysm with gastrointestinal bleeding is a rare but frequently fatal complication in patients with pancreatitis. Arteriographic embolization of visceral artery pseudoaneurysms is a safe and highly effective technique for the identification and treatment of hemorrhage even in critically ill patients. We report a case of massive hematemesis caused by rupture of a pseudoaneurysm successfully treated by transcatheter embolization.

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