Department of Radiology, Saitama Medical Center, Saitama Medical School, Kamoda, Kawagoe, Japan.
Jpn J Radiol. 2010 Feb;28(2):162-5. doi: 10.1007/s11604-009-0388-2. Epub 2010 Feb 26.
Blunt gallbladder injury is rare, and bleeding from the cystic artery due to blunt trauma is even rarer. We report herein a case of extraluminal bleeding of the gallbladder in a patient following blunt abdominal trauma. Contrast-enhanced computed tomography revealed pericholecystic fluid and extravasation of contrast material in the subcapsular liver space adjacent to the gallbladder. Abdominal digital subtraction angiography revealed pseudoaneurysm originating from a branch of the cystic artery. Successful treatment was achieved using selective transcatheter embolization, and cholecystectomy was not required.
钝性胆囊损伤较为罕见，而由钝性创伤引起的胆囊动脉出血则更为罕见。本文报告了 1 例钝性腹部创伤后患者的胆囊外出血病例。增强 CT 显示胆囊周围积液和胆囊相邻肝包膜下空间造影剂外渗。腹部数字减影血管造影显示源于胆囊动脉分支的假性动脉瘤。采用选择性经导管栓塞治疗获得成功，无需行胆囊切除术。
