首页> 外文期刊>Journal of International Medical Research >Multiple episodes of postpancreatectomy hemorrhage resolved by endoscopy and ultrasound-guided percutaneous thrombin injection into a common hepatic artery aneurysm: a case report
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Multiple episodes of postpancreatectomy hemorrhage resolved by endoscopy and ultrasound-guided percutaneous thrombin injection into a common hepatic artery aneurysm: a case report

机译:通过内窥镜检查和超声引导经皮凝血酶注射分解的促乳腺切除术出血的多集成肝动脉动脉瘤:案例报告

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Postpancreatectomy hemorrhage (PPH) is one of the most common complications after pancreatoduodenectomy (PD). It mainly includes gastrointestinal hemorrhage and abdominal hemorrhage. With the development of digestive endoscopy and ultrasonic/radiological interventional technology, hemostasis can be effectively performed by minimally invasive methods in many patients with PPH. This report describes the successful treatment of multiple episodes of postoperative hemorrhage after PD. The patient developed anastomotic hemorrhage after PD and was successfully treated by endoscopic hemostasis. However, he also developed intra-abdominal hemorrhage after PD caused by a pseudoaneurysm that had formed next to the common hepatic artery. We effectively performed hemostasis by injecting lyophilized thrombin powder into the pseudoaneurysm with ultrasound guidance, which is a rarely used method. This case indicates that digestive endoscopy provides great advantages in the treatment of gastrointestinal hemorrhage after PD. For patients who develop PPH with a pseudoaneurysm, interventional ultrasonography is an option if transcatheter arterial embolization or covered stenting fails.
机译:PostpancreateCentomy出血(PPH)是胰腺转录后切除术(PD)最常见的并发症之一。它主要包括胃肠道出血和腹部出血。随着消化内窥镜检查和超声波/放射介入技术的发展,通过在许多患者中PPH的微创方法可以有效地进行止血。本报告描述了PD后术后出血多次发作的成功治疗。患者在PD后开发了吻合口出血,并通过内窥镜止血成功处理。然而,他还开发了由旁边形成的肝动脉旁边形成的伪肿瘤引起的腹腔内出血。我们通过超声引导将冻干凝血酶粉末注入伪肿瘤中,有效地进行了止血,这是一种很少使用的方法。这种情况表明消化内窥镜检查在PD后处理胃肠出血方面提供了很大的优势。对于用伪肿瘤发育PPH的患者,介入超声检查是一种选择,如果经截面动脉栓塞或覆盖的支架失败。

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