创伤后胆道出血
Post-traumatic hemobilia.
作者信息
Vlahos L, Kalovidouris A, Gouliamos A, Kailidou E
机构信息
Department of Radiology, University of Athens, Areteion Hospital, Greece.
出版信息
Eur J Radiol. 1991 Nov-Dec;13(3):199-202. doi: 10.1016/0720-048x(91)90029-u.
Four patients with post-traumatic hemobilia were evaluated with arteriography over a 2 year period. In two patients hemobilia was of iatrogenic origin; in particular, one case appeared after a cholecystectomy, and the other was due to placement of a biliary stent with an endoscope. In the other two patients hemobilia was the result of a gun injury. Arteriography of the hepatic arterial system demonstrated two false aneurysms, extravasation of contrast medium through the biliary system in one patient and arterioportal fistula in another patient. It is concluded that arteriography of the hepatic arterial system is the method of choice for the evaluation and the possible treatment of patients with hemobilia.
在两年时间里，对4例创伤后胆道出血患者进行了动脉造影评估。其中2例患者的胆道出血为医源性；具体而言，1例在胆囊切除术后出现，另1例是由于通过内镜放置胆管支架所致。另外2例患者的胆道出血是枪伤的结果。肝动脉系统动脉造影显示2例假性动脉瘤，1例患者造影剂通过胆道系统外渗，另1例患者存在肝动脉门静脉瘘。结论是，肝动脉系统动脉造影是评估和可能治疗胆道出血患者的首选方法。
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