下胰腺双关节动脉伪动脉瘤导致胆道阻塞:一个病例报告
Patrick Meloy1, Will S Lindquester1, Jeffrey Stebbins1
1Emory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
Clinical practice and cases in emergency medicine
|June 13, 2024
概括
复发的胰腺双关节动脉伪动脉瘤,虽然很少见,但需要紧急的内血管管理. 通过CT和干预性放射学即时诊断可以预防危及生命的出血并改善患者的治疗结果.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 内脏动脉动脉瘤和伪动脉瘤是罕见的,但危及生命的疾病.
- 胰腺双关节动脉病理,通常与慢性胰腺炎有关,占内脏动脉瘤的2%.
- 破裂导致严重出血,造成严重的发病率和死亡率风险.
研究的目的:
- 在患有慢性胰腺炎的患者中呈现复发的下胰腺双腺伪动脉瘤.
- 突出这种罕见但危险的疾病的诊断和管理策略.
主要方法:
- 用对比增强的计算机断层扫描 (CT) 进行诊断.
- 突发性内血管管理,包括血管造影与栓塞线圈.
- 通过皮肤放置胆管导管和胆管支架.
主要成果:
- 成功管理一个大,复发的下胰腺双腺伪动脉瘤.
- 相关阻塞性胆道炎和胰腺炎的解决.
- 患者在短时间住院后出院,超白血症改善.
结论:
- 胰腺双关节动脉动脉瘤和伪动脉瘤是罕见且危险的内脏病理.
- 通过CT成像进行快速诊断在急诊室至关重要.
- 紧急的内血管管理对于预防严重的发病率和死亡率至关重要.
相关概念视频
01:24Chronic Pancreatitis I: Introduction
86
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...
86
01:26Endoscopic Procedures V: ERCP
176
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
176