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使用覆膜支架治療胰臟移植後假性動脈瘤-病例報告

Treatment of Pseudoaneurysm after Pancreatic Transplantation By Using Covered Stent: A Case Report

摘要


假性動脈瘤為胰臟移植術後罕見的血管病變,當其破裂時有大量出血的可能,由於及時診斷與治療相對困難,容易造成患者失血過度而危急生命。本病例為33歲女性,於11年前完成胰臟移植,因大量下消化道出血、血便/黑便,生命徵兆低下而兩次入院。第一次成功以栓塞線圈對供體血管進行栓塞止血,該病例於2周後因同樣症狀再次入院,經血管攝影發現前次手術置入栓塞線圈處有新出血點,再度以栓塞線圈補強,但是效果不理想。改用覆膜支架封閉供體血管在總髂動脈處的開口,術後成功止血,追蹤3個月後沒有復發。

並列摘要


Arterial Pseudoaneurysm is a rare vascular complication after pancreas transplantation. A ruptured pseudoaneurysm will result in serious bleeding. Delayed diagnosis and treatment in the rupture of arterial pseudoaneurysm might lead to life threatening condition. A 33-year-old female received pancreas transplantation 11 years ago. She suffered from large lower gastrointestinal bleeding, bloody/tarry stool and unstable vital signs. Angiography demonstrated rupture of the Y graft pseudoaneurysm. Initially, the pseudoaneurysm of the Y graft vessel was embolized with coils successfully. Unfortunately, the recurrent bleeding of the Y graft pseudoaneurysm occurred. Embolization with coils and covered stent was used to stop bleeding successfully. No recurrent bleeding was found at 3 months follow-up.

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