{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T06:16:05Z","timestamp":1648620965201},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Anamnese und klinischer Befund\u2002Bei einer 67-j\u00e4hrigen Patientin mit Oberbauchschmerzen ergab sich computertomografisch der Nachweis einer teils verkalkten Auftreibung des Pankreaskopfes und einer Wandverdickung des Duodenums.<\/jats:p><jats:p>\n          Untersuchungen\u2002Der station\u00e4r erhobene k\u00f6rperliche Untersuchungsbefund war unauff\u00e4llig. Labortechnisch wurden erh\u00f6hte Pankreasenzyme (Amylase 210\u200aU\/l (Normbereich: 28\u2013100\u200aU\/l), Lipase 2115\u200aU\/l (Normbereich: 23\u2013300\u200aU\/l)) und Entz\u00fcndungswerte (CRP 11,7\u200amg\/l (Normbereich: &lt;\u200a5,0\u200amg\/l)) ermittelt, sonst weitgehend unauff\u00e4llige Laborparameter. In der \u00d6sophagogastroduodenoskopie erfolgte eine Biopsie von geschwollenen, teils stenosierenden Schleimhautarealen im Duodenum.<\/jats:p><jats:p>\n          Diagnose\u2002Die Histologie ergab eine partiell erosive Duodenitis, kein Nachweis eines malignen Tumors. Bei Verdacht auf eine chronisch-kalzifizierende Pankreatitis erfolgte zum Tumorausschluss eine sonografisch gesteuerte perkutane Biopsie des Pankreaskopfes.<\/jats:p><jats:p>\n          Therapie und Verlauf\u2002Postbioptisch entwickelte die Patientin abdominelle Schmerzen und zeitweilige Kreislaufinstabilit\u00e4ten mit \u00dcbelkeit\/Erbrechen sowie einen Hb-Abfall auf 7,5\u200ag\/dl (Normbereich: 12,3\u201315,3\u200ag\/dl). Der sonografisch gestellte Verdacht auf ein retroperitoneales H\u00e4matom wurde computertomografisch best\u00e4tigt. Urs\u00e4chlich war eine Blutung aus einer Nierenarterienperforation rechts, die durch eine sofortige angiografische Intervention mit gecovertem Stent gestillt werden konnte.<\/jats:p><jats:p>\n          Folgerung\u2002Nach perkutaner Biopsie muss immer auch an eine Gef\u00e4\u00dfperforation gedacht werden. Eine Computertomografie liefert die Diagnose zuverl\u00e4ssig und schnell. Die minimalinvasive perkutane Einbringung eines gecoverten Stents ist im Falle einer f\u00fcr Stents zug\u00e4nglichen Nierenarterie die Therapie der Wahl.<\/jats:p>","DOI":"10.1055\/a-1427-8892","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T22:34:30Z","timestamp":1622586870000},"page":"759-762","source":"Crossref","is-referenced-by-count":0,"title":["Behandlung einer Nierenarterienperforation mit gecovertem Stent nach perkutaner Pankreaskopfbiopsie"],"prefix":"10.1055","volume":"146","author":[{"given":"Wilhelm","family":"Kersjes","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Diagnostische und Interventionelle Radiologie, RKH Klinikum Ludwigsburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Bengel","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Diagnostische und Interventionelle Radiologie, RKH Klinikum 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