摘要
脾假性动脉瘤所致消化道出血是一种少见的疾病。该文报道了1例43岁男性慢性胰腺炎致胰源性门脉高压伴脾假性动脉瘤并致消化道大出血患者的诊治过程。该患者既往有胰腺炎伴脾假性动脉瘤病史,因消化道大出血就诊,入院后行内镜及影像学等检查,诊断为胰源性门脉高压伴脾假性动脉瘤并结肠脾区瘘,经脾动脉栓塞术后,患者消化道出血症状消失,2个月后复查腹部CT提示原脾假性动脉瘤已基本消失。该例提示若患者既往患有胰腺炎伴脾假性动脉瘤,出现消化道出血症状时,应及时考虑是否存在动脉消化道瘘,做到及时诊治,挽救患者生命。
Gastrointestinal bleeding caused by splenic pseudoaneurysm is a rare disease.This paper reports the diagnosis and treatment of a 43 years old male case of pancreatic portal hypertension with splenic pseudoaneurysm and gastrointestinal hemorrhage caused by chronic pancreatitis.The patient had a history of pancreatitis with splenic pseudoaneurysm and was diagnosed as pancreatic portal hypertension with splenic pseudoaneurysm and colonic splenic fistula by endoscopy and imaging examination because of massive gastrointestinal hemorrhage.After splenic artery embolization,the symptoms of gastrointestinal bleeding disappeared.Two months later,abdominal CT showed that the prosplenic pseudoaneurysm had basically disappeared.This case suggests that if the patient previously suffered from pancreatitis with splenic pseudoaneurysm and presented symptoms of gastrointestinal bleeding,timely consideration should be given to the existence of arterial gastrointestinal fistula to achieve timely diagnosis and treatment to save the patient's life.
作者
宋佳芮
陈莉
Song Jiarui;Chen Li(Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)
出处
《新医学》
CAS
2022年第1期58-61,共4页
Journal of New Medicine
关键词
脾假性动脉瘤
消化道出血
胰源性门脉高压
Splenic aneurysm
Gastrointestinal bleeding
Pancreatic portal hypertension
作者简介
通信作者:陈莉,E-mail:chenliidea@sina.com。
