Gottschalk U, Meyer D-R, Steinberg J
Klinik für Innere Medizin m. S. Gastroenterologie, Vivantes-Klinikum Am Urban, Berlin.
Z Gastroenterol. 2006 Apr;44(4):329-32. doi: 10.1055/s-2006-926588.
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.
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。