medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.medvis-335Research ArticleБРЮШНАЯ ПОЛОСТЬ И ЗАБРЮШИННОЕ ПРОСТРАНСТВОABDOMEN AND RETROPERITONEALДвухэтапное лечение больных хроническим панкреатитом, осложненным ложной аневризмой селезеночной артерии: клиническое наблюдениеA Two-Stage Treatment of Patients with Chronic Pancreatitis Complicated by Pseudoaneurysm of the Splenic Artery: a Clinical CaseГоринД. С.GorinD. S.

канд. мед. наук, научный сотрудник отделения абдоминальной хирургии №1,

Москва

cand. of med. sci., the research fellow of abdominal department,

Moscow

ДугароваР. С.DugarovaR. S.

аспирант отделения абдоминальной хирургии №1,

117997 Москва, ул. Большая Серпуховская, 27

student of abdominal department,

Bol. Serpuhovskaya str., 27, Moscow, 117997

rimmadugarova@gmail.comФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава РоссииРоссияA.V. Vishnevsky Institute of SurgeryRussian Federation201628102016059296Copyright © Горин Д.С., Дугарова Р.С., 20162016Горин Д.С., Дугарова Р.С.Gorin D.S., Dugarova R.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/335

Развитие ложной аневризмы (ЛА) висцеральных артерий на фоне хронического панкреатита (ХП) является достаточно редким осложнением, частота которого, по данным литературы, составляет 1–10%. При разрыве аневризмы возникает массивное желудочно-кишечное или внутрибрюшное кровотечение, которое клинически трудно дифференцировать с другими патологиями желудочно-кишечного тракта. Для поиска источника кровотечения применяется ультразвуковое исследование, компьютерная томография, ангиография.

За период с 2010 г. по ноябрь 2016 г. в Институте хирургии им. А.В. Вишневского находились на лечении 25 больных c ХП, осложненным ЛА артерий бассейна чревного ствола и верхней брыжеечной артерии. Приведено клиническое наблюдение, демонстрирующее принципы диагностики и лечения ХП, осложненного ЛА селезеночной артерии.

The development of false aneurysms of visceral arteries on the background of chronic pancreatitis is a relatively rare complication, the frequency of which, according to the literature, is 1–10%. When aneurysm rupture occurs massive gastrointestinal or intra-abdominal bleeding that is clinically difficult to differentiate from other pathologies of the gastrointestinal tract. To search for the source of bleeding used ultrasound, computed tomography, angiography.

25 patients with CP complicated by FA artery of the celiac trunk and the superior mesenteric artery аor the period from 2010 to November 2016 were treated in the A.V. Vishnevsky Institute of surgery. A clinical case is presented the principles of diagnosis and treatment of chronic pancreatitis complicated by a pseudoaneurysm of the splenic artery.

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The authors declare that there are no conflicts of interest present.