Narula H S, Kotru A, Nejim A
Chesterfield Royal and North Derbyshire Hospital NHS Trust, Chesterfield, Derbyshire, UK.
Emerg Med J. 2005 Apr;22(4):302. doi: 10.1136/emj.2003.010405.
Aneurysms of the hepatic artery are rare. The presenting features include abdominal pain, which may be associated with a mass. More acutely, patients present with signs of hypovolaemia secondary to rupture. The patient reported here presented with gastrointestinal haemorrhage of unknown aetiology. A computed tomography scan showed an aneurysm of a visceral artery. Subsequent angiography confirmed the presence of a leak in the hepatic artery. The patient refused surgical intervention and improved with supportive treatment only.
肝动脉瘤较为罕见。其临床表现包括腹痛，可能伴有肿块。更急性的表现是患者因破裂出现低血容量体征。本文报道的患者出现了病因不明的胃肠道出血。计算机断层扫描显示内脏动脉有一个动脉瘤。随后的血管造影证实肝动脉存在渗漏。患者拒绝手术干预，仅通过支持治疗病情好转。
