Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis

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• 作者：Hideaki Obara MD ; PhD^a ;   ; ^{obara@z3.keio.jp} ; Kentaro Matsubara MD^a ; Masanori Inoue MD^b ; Seishi Nakatsuka MD ; PhD^b ; Sachio Kuribayashi MD ; PhD^b ; Yuko Kitagawa MD ; PhD^a
• 刊名：Journal of Vascular Surgery
• 出版年：2011
• 出版时间：November 2011
• 年：2011
• 卷：54
• 期：5
• 页码：1488-1491
• 全文大小：788 K

文摘

Hemosuccus pancreaticus, which is generally due to the rupture of a splenic artery aneursym into the pancreatic duct, is a rare cause of intermittent upper gastrointestinal hemorrhage. Segmental arterial mediolysis (SAM) is a rare arteriopathy. We report a 53-year-old man with hemosuccus pancreaticus due to a splenic artery aneurysm associated with SAM. The patient, who also had a celiac artery aneurysm affected by SAM, was successfully treated by both coil embolization and aortic stent grafting for complete coverage of the celiac artery. SAM is a very rare cause of hemosuccus pancreaticus, and endovascular treatment may be favorable for hemosuccus pancreaticus.