在酒精性胰腺炎后的二次性非创伤性内膜十二指肠血瘤
Rachel M Hernandez1, Kevin P Eells2, Kyle J Iverson1
1General Surgery, Keesler Medical Center, Biloxi, USA.
Cureus
|November 14, 2025
概括
与酒精诱导的胰腺炎相关的一种罕见的自发十二指肠血瘤,通过内镜超声波和支架放置进行了管理. 这一案例突出了复杂的胃肠道并发症及其长期管理挑战.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠道手术 胃肠道手术
- 医疗成像医学成像
背景情况:
- 十二指甲膜血腫不常見,通常是由創傷造成的.
- 自发的室内十二指肠血瘤是非常罕见的,很少有记录的病例.
研究的目的:
- 报告一种罕见的自发性腹腔内十二指肠血瘤病例.
- 描述这种情况的诊断和管理方法.
- 讨论长期的后果和手术干预.
主要方法:
- 一个56岁的男性患有酒精诱导的胰腺炎的病例报告.
- 诊断工作包括内镜,内镜超声波 (EUS) 和计算机断层扫描血管学 (CTA).
- 管理涉及AXIOS支架安置,然后进行机器人胃肠道术,以防止胃出口阻塞.
主要成果:
- 鉴定出一个大型的腹腔内十二指肠血瘤,并最初吸入.
- 患者出现了十二指肠狭窄和胃出口阻塞.
- 成功管理需要延迟的手术干预与十二指肠旁路.
结论:
- 自发的室内十二指肠血瘤可以作为胰腺炎的并发症发生.
- 多模式成像对于诊断和管理规划至关重要.
- 复杂的病例可能需要推迟手术干预以实现长期解决.
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