Baek Yang Hyun, Choi Suk Ryul, Lee Jong Hun, Kim Min Ji, Kim Young Hoon, Roh Young Hoon, Roh Myung Hwan
Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.
Korean J Gastroenterol. 2008 Dec;52(6):394-8.
Obstructive jaundice by vascular compression is rare. The causative arteries were identified as the right hepatic artery, gastroduodenal artery, cystic artery, proper hepatic artery, and an unspecified branch of the common hepatic artery. Also the venous system, such as enlarging collateral veins in cases of portal hypertension was a causative vessel. Herein, we describe a case of a proximal choledocholithiasis due to compression of the common bile duct by right hepatic artery originated from gastroduodenal artery. Final diagnosis and treatment were achieved through an operation.
血管压迫导致的梗阻性黄疸较为罕见。致病动脉包括右肝动脉、胃十二指肠动脉、胆囊动脉、肝固有动脉以及肝总动脉的一支未明确的分支。此外,静脉系统,如门静脉高压时扩张的侧支静脉也是致病血管。在此,我们描述一例因起源于胃十二指肠动脉的右肝动脉压迫胆总管导致近端胆总管结石的病例。最终通过手术实现了诊断和治疗。