<症例>上膵十二指腸動脈瘤破裂により十二指腸閉塞症をきたした1例

概要

論文の詳細を見る
Acute obstruction of the duodenum caused from the rupture of pancreaticoduodenal artery is rare. A 56 year old male patient was admitted to our hospital because of an acute pain in the abdomen with severe vomiting, abdominal pain, obstructive jaundice and localized peritonitis in the right hypochondrium. Operative findings showed duodenal obstruction due to a retroperitoneal mass. Histological diagnosis by surgically biopsied specimen revealed the retroperitoneal fibromatosis with hemosiderin deposition. Postoperative selective angiography showed an aneurysm of the superior pancreaticoduodenal artery. The aneurysm of the pancreaticoduodenal artery has been reported on 33 cases since Ferguson's first report in 1895. Obstructive ileus as to its complication is not a presenting feature in the previously reported cases. If the patient complains of abdominal pain, suffering from jaundice, gastrointestinal bleeding and the compression symptoms of gastrointestinal tract with suspectable mass by CT scan and echography, selective angiography is a useful examination for the diagnosis of this disease.
近畿大学の論文
1985-09-25