PDF(Pubmed)
Abstract：
The occurrence of the pseudoaneurysm of visceral arteries in the field of chronic pancreatitis is a very rare complication that represents a life-threatening condition. The higher frequency of this complication is in the necrotic form of pancreatic inflammation, especially in patients with formed peripancreatic necrotic collections. The degradation of the arterial wall leads to bleeding and transforms these necrotic collections into a pseudoaneurysm. Urgent endovascular angioembolization is the first choice in the therapeutic approach as a valid minimally invasive solution with very satisfactory immediate and long-term outcomes. This successfully avoids open surgery, which is associated with a high mortality rate in these patients, especially in acute-on-chronic pancreatitis.
摘要：
在慢性胰腺炎领域，内脏动脉假性动脉瘤的发生是一种非常罕见的并发症，代表着危及生命的状况。这种并发症的频率较高的是胰腺炎的坏死形式，尤其是在形成胰腺周围坏死集合的患者中。动脉壁的降解导致出血并将这些坏死集合转化为假性动脉瘤。作为有效的微创解决方案，紧急血管内栓塞是治疗方法的首选，具有非常令人满意的近期和长期结果。这成功避免了开放性手术，这与这些患者的高死亡率有关，尤其是在慢性急性胰腺炎中。
