大脏动脉伪动脉瘤的管理 呈现与胃肠道出血
Dionysios Prevezanos1, Dimitrios Vlachos1, Michail Konstantinidis2
12nd Department of Propaedeutic Surgery, Laiko General Hospital of Athens, Athens, GRC.
Cureus
|January 30, 2026
概括
脏动脉伪动脉瘤是慢性胰腺炎的罕见并发症,可以通过内血管栓塞有效管理. 这种最少的侵入性技术提供了有利的结果,并保留了脏功能.
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:
- 脏动脉伪动脉瘤是慢性胰腺炎 (CP) 的罕见但危及生命的并发症.
- 管理需要一个量身定制的方法来解决血管异常,并尽量减少发病率.
研究的目的:
- 报告脏动脉伪动脉瘤的病例,这是慢性胰腺炎的次要病例.
- 为了突出内血管栓塞在治疗这种疾病中的有效性.
主要方法:
- 一名59岁的女性患有慢性胰腺炎,呈现出肌和腹痛.
- 与对比度增强的CT证实了脏动脉伪动脉瘤.
- 进行了内血管栓塞,以封闭伪动脉瘤.
主要成果:
- 成功的内血管栓塞实现了脏动脉伪动脉瘤的完全封闭.
- 患者经历了一个无事件的术后过程,结果稳定.
- 六个月的随访证实没有复发或并发症,脏功能得到保护.
结论:
- 干预性放射学是管理非出血性伪动脉瘤的主要方式.
- 最少侵入性内血管栓塞是有效的解决伪动脉瘤,同时保持脏功能.
- 个性化护理对于管理这些罕见的血管并发症至关重要.
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