Chronic Pancreatitis Associated with Liver Infarction and Inferior Pancreaticoduodenal Artery Pseudoaneurysm / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
; : 35-38, 2017.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-143196
Biblioteca responsável:
WPRO
ABSTRACT
Liver infarction is rare because of dual blood supply of the liver with hepatic artery and portal vein. And its occurrence as a complication of chronic pancreatitis is rarer. We present a case of chronic pancreatitis complicated by liver infarction and inferior pancreaticoduodenal artery pseudoaneurysm. A 31-year-old female with alcoholism presented with severe acute epigastric pain. Serum amylase and lipase were 203 IU/L and 78 IU/L, respectively. Initial computed tomography (CT) scan showed peripancreatic infiltration, fluid collection, right portal vein thrombosis, and a large wedge-shaped low attenuation in the right hepatic lobe. The patient has been treated with heparin. Follow-up CT scan done after 4 days of heparin treatment demonstrated a pseudocyst with internal hemorrhage and a pseudoaneurysm. Angiography revealed a pseudoaneurysm in inferior pancreaticoduodenal artery. Coil embolization of the artery was done. The patient has been discharged without complication. Follow-up CT scan showed resolution of liver infarction, portal vein thrombosis and pseudoaneurysm.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Problema de saúde:
Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
/
Álcool
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pancreatite
/
Veia Porta
/
Artérias
/
Trombose
/
Angiografia
/
Heparina
/
Tomografia Computadorizada por Raios X
/
Seguimentos
/
Falso Aneurisma
/
Trombose Venosa
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Pancreas and Biliary Tract
Ano de publicação:
2017
Tipo de documento:
Artigo