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腹腔镜胆囊切除术后胆囊窝假性动脉瘤

Pseudoaneurysm in gall bladder fossa following laparoscopic cholecystectomy.

作者信息

Halbe S, Ahmed N I, Sundar K, Sathyakumar C

机构信息

Department of Radiology, Apollo Hospitals, Chennai.

出版信息

Indian J Gastroenterol. 1999 Jul-Sep;18(3):122.

Abstract

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.

摘要

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。

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