重症胰腺炎并发动脉瘤破裂大出血

Massive hemorrhage secondary to severe acute pancreatitis associated with pseudoaneurysm

目的提高对重症胰腺炎合并假性动脉瘤的诊治水平。方法报告1例重症胰腺炎并发胰十二指肠动脉瘤出血的诊治过程并文献复习。结果该患者经受3次腹部手术未能止血,用经导管动脉栓塞,出血停止。结论经导管动脉栓塞是重症胰腺炎并发假性动脉瘤出血的首选方法。

ObjectiveTo improve the diagnosis and treatment of severe acute pancreatitis associated withpseudoaneurysm.MethodsA case of severe acute pancreatitis with pancreaticoduodenal artery pseudoaneurism wasreported.ResultsThe patient underwent abdominal operations three times, however, the hemorrhage recurred. Whentranscatheter embolization had been performed,the hemorrhage stopped.ConclusionTranscatheter embolization is thefirst selection for severe acute pancreatitis associated with pseudoaneurysm hemorrhage.