宋佳芮 陈莉

    【摘要】 脾假性动脉瘤所致消化道出血是一种少见的疾病。该文报道了1例43岁男性慢性胰腺炎致胰源性门脉高压伴脾假性动脉瘤并致消化道大出血患者的诊治过程。该患者既往有胰腺炎伴脾假性动脉瘤病史，因消化道大出血就诊，入院后行内镜及影像学等检查，诊断为胰源性门脉高压伴脾假性动脉瘤并结肠脾区瘘，经脾动脉栓塞术后，患者消化道出血症状消失，2个月后复查腹部CT提示原脾假性动脉瘤已基本消失。该例提示若患者既往患有胰腺炎伴脾假性动脉瘤，出现消化道出血症状时，应及时考虑是否存在动脉消化道瘘，做到及时诊治，挽救患者生命。

    【关键词】 脾假性动脉瘤;消化道出血;胰源性门脉高压

    A case of massive gastrointestinal bleeding caused by pancreatic portal hypertension with giant splenic pseudoaneurysm and colonic splenic fistula Song Jiarui，Chen Li. Affiliated Hospital of North Sichuan Medical College， Nanchong 637000，China

    Corresponding author，Chen Li， E-mail： chenliidea@sina.com

    【Abstract】 Gastrointestinal bleeding caused by splenic pseudoaneurysm is a rare disease. This paper reports the diagnosis and treatment of a 43 years old male case of pancreatic portal hypertension with splenic pseudoaneurysm and gastrointestinal hemorrhage caused by chronic pancreatitis. The patient had a history of pancreatitis with splenic pseudoaneurysm and was diagnosed as pancreatic portal hypertension with splenic pseudoaneurysm and colonic splenic fistula by endoscopy and imaging examination because of massive gastrointestinal hemorrhage. After splenic artery embolization ......