Diagnosis and Treatment Analysis of Massive Gastrointestinal Hemorrhage from Pseudoaneurysm Caused by Pancreatitis
JIANG Hai-tao
CHEN Yin
ZHOU Ben-gang
WANG Hong
Abstract：Objective To investigate the key points of diagnosis and treatment of pancreatic pseudoneurysm compli-cated with massive gastrointestinal hemorrhage. Methods Clinical data of a pancreatitis patient complicated with pseudoan-eurgs clinically manifested by massive hemorrhage was retrospectively analyzed, and the relevant literatures were reviewed. Results The patient was admitted for abdominal pain, hematemesis and tarry stool for a week, and had a history of pancreati-tis for 5 years. The patient with the major clinical symptom of massive gastrointestinal hemorrhage was diagnosed by abdominal enhanced CT, and then checked by digital subtraction angiography ( DSA) . The patient was treated by transcatheter arterial embolism ( TAE ) . After remobilization, clinical symptom was significantly alleviated, and discharged from hospital. CT showed no bleeding foci after 11 months of follow up after discharge, no gastrointestinal hemorrhage recurred. Conclusion Pancreatic pseudoneurysm is one of the rare complications of chronic pancreatitis. CT, DSA are the main diagnosis methods, and TAE is a safe and effective method for treatment of pancreatitis with pseudoaneurysm.
Keywords：PancreatitisAneurysmfalseGastrointestinal hemorrhageRemobilizationtherapeutic
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 26-28 )