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Acute Necrotizing Pancreatitis Combined Gastroduodenal Artery Psudoaneurysm Formation and Massive Upper Gastrointestinal Tract Bleeding: A Case Report

急性壞死性胰臟炎併發胃十二指腸動脈假性血管瘤生成及大量上消化道出血:病例報告

摘要


嚴重的急性胰臟炎在臨床上頗為常見,但併發假性血管瘤生成的比例並不高。若假性血管瘤生成並破裂往往造成大量出血導致病人死亡。我們在此報告一病例是36歲男性病人,因喝酒導致急性壞死性胰臟炎住院。在住院過程中發生大量上消化道出血併低血容性休克,經血管攝影確定為胃十二指腸動脈有假性血管瘤生成並出血。經血管栓塞後成功止血。

並列摘要


Severe acute pancreatitis is not uncommon clinically, but is not so often if complicated with psudoaneurysm formation. Once the pseudoaneurysm rupture, it always induces hypovolemic shock and high mortality rate. The patient is a 36 year-old man, who was admitted due to alcohol related acute necrotizing pancreatitis. Massive upper gastrointestinal bleeding with hypovolemic shock developed on 10th day, angiography revealed a ruptured gastroduodenal artery pseudoaneurysm. Angioembolization was effective for hemostasis.

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