胰腺动脉静脉形形呈胃肠道出血,并通过超动脉栓塞治疗
Helen Bolanaki1, Ioannis Tzimagiorgis1, Hippocrates Moschouris2
1Second Department of Surgery, University Hospital of Alexandroupolis, Alexandroupolis, GRC.
胰腺头部的动脉静脉形 (AVM) 可能导致胃肠道出血. 选择性跨动脉栓塞有效治疗这种罕见的疾病,防止复发和解决症状.
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:
- 动脉静脉形 (AVM) 是一种罕见的血管异常.
- 动脉动脉瘤可以导致严重的出血,通常是第一个症状.
- 胰腺头AVM异常罕见,难以诊断和治疗.
研究的目的:
- 报告一个胰腺头AVM病例,呈现上部胃肠道出血.
- 为了说明这种情况的成功管理,使用选择性跨动脉栓塞.
- 突出这种干预方法的诊断挑战和治疗有效性.
主要方法:
- 一名62岁的男性患上胃上疼痛和黑色素体,接受了非诊断性内镜评估.
- 用对比增强的计算机断层扫描在胰腺头部发现了AVM.
- 选择性血管造影指导了动脉的跨动脉栓塞.
主要成果:
- 选择性跨动脉栓塞成功地消除了胰腺头AVM.
- 患者经历了出血和腹上疼痛的完全消失.
- 在术后没有观察到出血的复发.
结论:
- 选择性跨动脉栓塞是一种安全有效的治疗流血的胰腺头AVMs.
- 这种微创手术技术为外科手术提供了可行的替代方案.
- 早期诊断和及时的干预管理对于有利的结果至关重要.
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