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Transcatheter arterial embolization for postoperative intraperitoneal and gastrointestinal hemorrhage in a patient with severe acute pancreatitis

机译:经导管动脉栓塞治疗重症急性胰腺炎患者术后腹膜内和胃肠道出血

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Pancreatitis is associated with pseudoaneurysm in 4-10% of patients. Intraperitoneal and gastrointestinal hemorrhage resulting from rupture of a pseudoaneurysm is an uncommon complication of pancreatitis. We report a male with severe acute pancreatitis presenting with intraperitoneal and gastrointestinal hemorrhage 13 days and 68 days after debridement and drainage of infected necrosis of pancreas, which were successfully managed by a transcatheter arterial embolization with ?two points? (both sides of the bleeding point). This case not only reveals the management of intraperitoneal and gastrointestinal hemorrhage, but also indicates ?two points? embolization could be the definitive therapy for hemorrhage secondary to severe acute pancreatitis.
机译:胰腺炎与4-10%的患者的假性动脉瘤相关。假性动脉瘤破裂引起的腹膜和胃肠道出血是胰腺炎的罕见并发症。我们报告了一名男性重症急性胰腺炎,在清创和引流胰腺坏死引流术后13天和68天出现腹膜和胃肠道出血,通过经导管动脉栓塞术成功治疗了“两点”。 (两侧出血点)。该病例不仅揭示了腹膜和胃肠道出血的治疗方法,而且还指出了“两点”。栓塞术可能是继发于严重急性胰腺炎的出血的最终治疗方法。

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