Stierli P, Graf D, Stamm B
Department of Surgery, Kantonsspital Aarau.
Vasa. 1991;20(2):164-8.
We describe a patient with an aneurysmatic dilatation of the hepatic artery feeding a giant cavernous hemangioma. The 51-years-old man presented with massive gastrointestinal hemorrhage due to chronic rupture of the aneurysm into the pancreatic duct. The patient died 25 days after resection of the aneurysm in liver failure and septic shock. We think that this cavernous hemangioma was responsible for a high blood flow within the hepatic artery for many years. This high blood flow caused the degenerative alterations in the wall of the artery, resulting in aneurysm formation and rupture. This is the first case mentioned in literature with rupture of a hepatic aneurysm generated by high blood flow.
我们描述了一名患有供养巨大海绵状血管瘤的肝动脉瘤样扩张的患者。这位51岁男性因动脉瘤慢性破裂进入胰管而出现大量胃肠道出血。患者在肝动脉瘤切除术后25天死于肝衰竭和感染性休克。我们认为，多年来该海绵状血管瘤导致肝动脉内血流增加。这种高血流导致动脉壁发生退行性改变，进而形成动脉瘤并破裂。这是文献中提及的首例因高血流导致肝动脉瘤破裂的病例。
