脾动脉瘤引起的wirsunge:不是偶然发现

Shreya Gattani, Sunil Kumar, S. Agrawal, N. Raisinghani, Amit Baheti
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引用次数: 0

摘要

wirsunge是一种罕见的由胰腺、胰管或其邻近结构出血引起的便血,如脾动脉出血进入胰管并进而进入十二指肠。我们报告一位38岁男性病患,经电脑断层扫描(CT)血管造影诊断为脾动脉瘤后继发的低血容量性休克及直肠新鲜出血(出血)。在这个病例报告中,我们强调了血管造影的重要性,当胃肠出血的原因不能通过内窥镜检测到。
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Wirsungorrhage due to Splenic Artery Aneurysm: Not a Chance Finding
Wirsungorrhage is a rare cause of hematochezia caused by a bleeding source in the pancreas, pancreatic duct or structures adjacent to it, such as the splenic artery that bleed into the pancreatic duct and thence to duodenum. We report a case of 38 year old male presenting with hypovolemic shock and fresh bleeding per rectum (hematochezia) secondary to splenic artery aneurysm diagnosed on the basis of computed tomography (CT) Angiography. In this case report we have highlighted the importance of angiography, when cause of gastrointestinal bleeding is not detectable by endoscopy.
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