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[左肝动脉假性动脉瘤作为内镜逆行胰胆管造影术及括约肌切开术的并发症]

[Pseudoaneurysm of the left hepatic artery as a complication of ERCP with sphincterotomy].

作者信息

Gottschalk U, Meyer D-R, Steinberg J

机构信息

Klinik für Innere Medizin m. S. Gastroenterologie, Vivantes-Klinikum Am Urban, Berlin.

出版信息

Z Gastroenterol. 2006 Apr;44(4):329-32. doi: 10.1055/s-2006-926588.

Abstract

A pseudoaneurysm of the hepatic artery is a rare complication of interventional endoscopy or transhepatic puncture. The present case report describes a symptomatic pseudoaneurysm of the left hepatic artery following endoscopic retrograde cholangio-pancreatography (ERCP). The indication was a biliary pancreatitis, and it was treated by guide-wire-sphincterotomy and extraction of sludge with a Dormia basket. A superselective angiographic embolization was not necessary because of a spontaneous thrombotic obstruction of the pseudoaneurysm.

摘要

肝动脉假性动脉瘤是介入性内镜检查或经肝穿刺的一种罕见并发症。本病例报告描述了一例内镜逆行胰胆管造影术(ERCP)后发生的左肝动脉有症状假性动脉瘤。其指征为胆源性胰腺炎,通过导丝括约肌切开术及用多尔米亚网篮取出胆泥进行治疗。由于假性动脉瘤出现自发性血栓阻塞,因此无需进行超选择性血管造影栓塞。

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