[导管内乳头状粘液瘤中脾动脉瘤破裂引起的胰血浆液]。

Q4 Medicine

Japanese Journal of Gastroenterology Pub Date : 2025-01-01 DOI:10.11405/nisshoshi.122.573

Kiyonori Kusumoto, Kohei Ueno, Jun Toda, Keiji Yoneda, Tomoaki Yo

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引用次数: 0

摘要

一位80多岁男性患者，1年内2次出血，因黑黑症住院治疗。在检查消化道不明出血时，发现混合型导管内乳头状粘液瘤（IPMN），内镜超声检查显示胰腺尾部同一病变处有一4毫米脾动脉瘤突出。行远端胰腺切除术，病理诊断显示IPMN内血管及血液成分破裂。由于脾动脉瘤破裂，患者被诊断为胰脏出血。我们报告这个罕见的病例脾动脉瘤引发的IPMN。

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[Hemosuccus pancreaticus caused by a ruptured splenic artery aneurysm in an intraductal papillary mucinous neoplasm].

An octogenarian male patient who had experienced 2 bleeding episodes in 1 year was hospitalized for melena. During the examination for the obscure gastrointestinal bleeding, a mixed-type intraductal papillary mucinous neoplasm (IPMN) was found, and an endoscopic ultrasound examination revealed a 4-mm splenic artery aneurysm protruding from the same lesion in the pancreatic tail. Distal pancreatectomy was performed, and the pathological diagnosis revealed ruptured blood vessels and blood components within the IPMN. The patient was diagnosed with hemosuccus pancreaticus due to a ruptured splenic artery aneurysm. We report this rare case of a splenic artery aneurysm triggered by IPMN.

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来源期刊

Japanese Journal of Gastroenterology Medicine-Gastroenterology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.