Diagnosis and treatment of pseudoaneurysm complicated with pancreatitis
10.3760/cma.j.issn.1007-5232.2019.10.007
- VernacularTitle: 胰腺炎并发假性动脉瘤11例临床分析
- Author:
Jinlong HU
1
;
Nan GE
;
Sheng WANG
;
Jintao GUO
;
Xiang LIU
;
Guoxin WANG
;
Siyu SUN
Author Information
1. Department of Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang 110001, China
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Aneurysm, false;
Gastrointestinal hemorrhage;
Endosonography;
Embolization, therapeutic
- From:
Chinese Journal of Digestive Endoscopy
2019;36(10):746-749
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the diagnosis treatment and methods for pancreatic pseudoaneurysms complicated with pancreatitis.
Methods:The diagnostic methods, treatments and clinical effects of 11 patients with pancreatic pseudoaneurysms complicated with pancreatitis from January 2006 to December 2014 were retrospectively analyzed in Shengjing hospital.
Results:Two cases of pancreatic pseudoaneurysms were diagnosed by endoscopic ultrasonography(EUS). Eight cases were diagnosed with contrast-enhanced computed tomography. One case was diagnosed by angiography. Ten patients received endovascular embolization, and nine of them were successfully treated. Rebleeding occurred in one patient 28 days after embolization, and was successfully treated by repeated embolization. One patient was successfully treated by surgery.
Conclusion:Contrast-enhanced computed tomography and angiography are the current main methods to diagnose pancreatic pseudoaneurysms. With the wide use of EUS in the diagnosis of pancreatic disease, EUS becomes an option for diagnosis of pancreatic pseudoaneurysm. Traditionally, pancreatic pseudoaneurysm is treated by surgery. With the advancement of endovascular techniques, endovascular treatment has become the first-line treatment. Further studies with a large sample size are needed to establish the better diagnostic methods and treatments for pancreatic pseudoaneurysm.
