腰椎动脉伪动脉瘤呈现为严重,瘤性胰腺炎的新发症
Akash T Khurana1,2, Vibhu Chittajallu2,3, Steven Reed4
1Department of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
ACG case reports journal
|August 25, 2023
概括
瘤性胰腺炎可能导致罕见的腰椎动脉伪动脉瘤. 这一案例凸显了它们可能导致严重出血的潜力,即使没有典型的创伤相关原因.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 放射学 放射学是指放射学
背景情况:
- 脊柱动脉伪动脉瘤是死性胰腺炎的已知的并发症.
- 腰椎动脉伪动脉瘤不常见,通常与创伤或阳性原因有关.
研究的目的:
- 报告一种罕见的腰部动脉伪动脉瘤病例,这是死板炎的次要病例.
- 为了强调从这些伪动脉瘤中引起的尾内出血的可能性.
主要方法:
- 一个55岁的男性患有死性胆道胰腺炎的病例介绍.
- 管理涉及内镜超声波引导的瘤切除术,以收集胰腺液体.
- 监测并发症,包括血管事件.
主要成果:
- 胰腺收集的内后延伸导致腰椎动脉伪动脉瘤的发展.
- 患者经历出血性休克,原因是后皮层和皮层内出血.
- 这表明腰椎动脉伪动脉瘤的非创伤性病因.
结论:
- 腰椎动脉伪动脉瘤可以作为瘤性胰腺炎的罕见并发症发生.
- 由于危及生命的出血风险,迅速识别和管理至关重要.
相关概念视频
Aneurysm I: Introduction
13
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
13
Acute Pancreatitis II: Clinical Manifestations and Management
148
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
148
Chronic Pancreatitis I: Introduction
112
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
112
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10
Peripheral Artery Disease I: Introduction
9
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
9
Acute Pancreatitis I: Introduction
403
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
403


