Halbe S, Ahmed N I, Sundar K, Sathyakumar C
Department of Radiology, Apollo Hospitals, Chennai.
Indian J Gastroenterol. 1999 Jul-Sep;18(3):122.
A 32-year-old lady presented with severe hematemesis and melena after laparoscopic cholecystectomy. Initial ultrasonography and spiral CT suggested a vascular lesion in the gall bladder fossa. Selective hepatic angiography confirmed the presence of a pseudoaneurysm close to the surgical clip and filling through the right hepatic artery. This was treated with coil embolization, resulting in cessation of hematemesis and amelioration of symptoms.
一位32岁女性在腹腔镜胆囊切除术后出现严重呕血和黑便。最初的超声检查和螺旋CT提示胆囊窝有血管病变。选择性肝血管造影证实靠近手术夹处存在假性动脉瘤,且通过右肝动脉供血。对其进行了弹簧圈栓塞治疗,呕血停止,症状改善。