在为恶性胆道阻塞放置自扩张金属支架后破裂的囊性动脉伪动脉瘤
Takafumi Mie1, Takashi Sasaki1, Kiyoshi Matsueda2
1Department of Hepato-Biliary-Pancreatic Medicine Cancer Institute Hospital, Japanese Foundation for Cancer Research Tokyo Japan.
DEN open
|October 30, 2023
概括
在胰腺癌患者的胆管支架放置后,发生了一种罕见的破裂性囊性动脉伪动脉瘤. 这种并发症表现为血栓炎症,需要在患有胆囊炎症的患者中考虑.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 恶性胆道阻塞是胰腺癌的常见并发症.
- 自扩展金属支架 (SEMS) 经常用于息.
- 虽然SEMS安装的并发症很少见,但需要仔细考虑.
研究的目的:
- 报告一种罕见的破裂性囊性动脉伪动脉瘤病例,该病例是在恶性胆道阻塞的SEMS安置后发生的.
- 强调在SEMS安置后对血红病的差异诊断中考虑伪动脉瘤破裂的重要性.
主要方法:
- 一个78岁的胰腺癌女性患者的病例报告.
- 带有SEMS放置的内镜逆行胆血管细胞造影 (ERCP).
- 对比增强计算机断层扫描 (CECT) 用于诊断.
- 通过导管动脉栓塞 (TAE) 进行血液静止.
主要成果:
- 成功安装SEMS解决了阻塞性黄.
- 患者在手术后7天出现了血.
- 通过CET检测出一个破裂的囊性动脉伪动脉瘤与胆囊出血.
- 新兴的TAE成功实现了血液静止.
结论:
- 破裂的囊性动脉伪动脉瘤是SEMS放置后恶性胆道阻塞的潜在并发症.
- 考虑伪动脉瘤破裂对于血栓炎症至关重要,特别是在同时发生胆囊炎症时.
- 及时诊断和干预 (TAE) 对于管理这种罕见但严重的并发症至关重要.
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