Arneson Matthew A, Smith R Stephen
Department of Surgery, University of Kansas School of Medicine, Wichita, KS 67214, USA.
Ann Vasc Surg. 2005 Jul;19(4):540-5. doi: 10.1007/s10016-005-5043-5.
Herein, we report the case of a 52-year-old female with new-onset right upper quadrant pain and hypertension. She was found to have hemoperitoneum upon surgical exploration. Visceral angiography demonstrated a left hepatic artery aneurysm and an occluded right renal artery. The patient was treated with percutaneous angiographic embolization of the left hepatic artery, followed by right nephrectomy and cholecystectomy. Ruptured hepatic aneurysms are associated with a high mortality rate. The clinical presentation of patients with hepatic artery aneurysms is discussed. Early diagnosis and treatment are essential for a favorable outcome.
在此，我们报告一例52岁女性患者，出现新发右上腹疼痛和高血压。手术探查发现她有腹腔积血。内脏血管造影显示左肝动脉瘤和右肾动脉闭塞。该患者接受了经皮血管造影栓塞左肝动脉治疗，随后进行了右肾切除术和胆囊切除术。破裂的肝动脉瘤死亡率很高。本文讨论了肝动脉瘤患者的临床表现。早期诊断和治疗对于取得良好预后至关重要。
