Bohl Jaime L, Dossett Lesly A, Grau Ana M
Department of Surgery, Vanderbilt University, Nashville, TN 37232-6860, USA.
J Gastrointest Surg. 2007 Dec;11(12):1752-4. doi: 10.1007/s11605-007-0231-y. Epub 2007 Jul 17.
A 42-year-old male was admitted with recurrent gastrointestinal bleeding and new-onset jaundice. Computed tomography showed a persistent gastroduodenal artery pseudoaneurysm and dilated intrahepatic and extrahepatic ducts consistent with obstructive jaundice. This patient had two previous coil embolizations, which failed to prevent recurrent bleeding. The patient underwent pancreaticoduodenectomy for definitive treatment of his pseudoaneurysm. We report this case and review the literature.
一名42岁男性因反复胃肠道出血和新发黄疸入院。计算机断层扫描显示持续性胃十二指肠动脉假性动脉瘤以及与梗阻性黄疸相符的肝内和肝外胆管扩张。该患者此前曾接受过两次弹簧圈栓塞治疗,但未能预防出血复发。患者接受了胰十二指肠切除术以彻底治疗其假性动脉瘤。我们报告该病例并复习相关文献。