胰腺移植后异胎性肠静脉出血的管理:两个病例
Jacob Kosyakovsky1, Todd J Robinson2, Swati Rao3
1Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Clinical transplantation
|October 4, 2023
概括
异位腹出血是同时进行脏胰腺移植 (SPK) 后的罕见并发症,可能导致隐藏的胃肠道出血. 早期识别和跨肝线圈栓塞是管理这种不寻常的移植后血管问题的关键.
科学领域:
- 移植和移植手术 移植和移植手术
- 胃肠病学 胃肠病学
- 血管外科 血管外科
背景情况:
- 异位腹出血是胃肠道出血的一个不常见的原因.
- 在胰腺移植后,血管并发症很常见,但症状异位静脉变异很少见.
- 同时接受脏胰腺移植 (SPK) 的人可能会出现晚发性胃肠道出血.
研究的目的:
- 报告SPK接受者罕见出现症状性子宫外静脉的情况.
- 要突出诊断挑战和管理策略的这种条件.
- 为了对移植后异位腹出血的有限文献做出贡献.
主要方法:
- 两名SPK患者患有隐性胃肠道出血的病例报告.
- 诊断工作包括内镜和成像.
- 通过跨肝线圈栓塞治疗.
主要成果:
- 两名SPK患者在移植后二十年出现了隐性肠胃出血.
- 需要长时间的诊断期来识别子宫外静脉.
- 通过跨肝线圈栓塞实现了成功的治疗.
结论:
- 症状性宫外静脉瘤是SPK后的罕见但显著的并发症.
- 及时诊断和内血管干预对于管理这些出血至关重要.
- 提高意识可以改善患者对这种不寻常的呈现的结果.
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