Witczak Andrzej, Modzelewski Bogdan
Uniwersytet Medyczny w Łodzi, Klinika Chirurgii Gastroenterologicznej, Onkologicznej i Ogólnej.
Pol Merkur Lekarski. 2009 Dec;27(162):481-3.
The article reports a rare case of hemobilia caused by ruptured hepatic artery aneurysm. Based on clinical symptoms, USG and ERCP common bile duct stones have been diagnosed primary. Because of no response to initial treatment (ERCP) and appearing a new clinical symptom - bleeding in the upper gastrointestinal tract, another tests have been applied which results let us estabilish final diagnosis. The diagnostic problems of the hemobilia are discussed.
本文报道了一例由肝动脉动脉瘤破裂引起的罕见胆道出血病例。基于临床症状，最初超声检查（USG）和内镜逆行胰胆管造影（ERCP）诊断为胆总管结石。由于对初始治疗（ERCP）无反应且出现了新的临床症状——上消化道出血，于是进行了其他检查，检查结果使我们得以确立最终诊断。文中讨论了胆道出血的诊断问题。
