Kamani Lubna, Mosharraf S M Faisal, Shah Hasnain Ali
Gastroenterology Section, Department of Medicine, The Aga Khan University Hospital, Karachi.
J Coll Physicians Surg Pak. 2011 Dec;21(12):766-8.
Iatrogenic injury to hepatic duct leading to pseudoaneurysm and haemobilia can occur following laparoscopic cholecystectomy. We report a case of a 60 years old man presenting with haematemesis found to have pseudoaneurysm of accessory hepatic artery 4 months after laparoscopic cholecystectomy. Diagnosis was made by computed tomography (CT) scan followed by celiac and mesenteric artery angiogram. The bleeding was successfully treated with coil embolization.
腹腔镜胆囊切除术后可发生医源性肝管损伤,导致假性动脉瘤和胆道出血。我们报告一例60岁男性患者,在腹腔镜胆囊切除术后4个月出现呕血,经检查发现副肝动脉假性动脉瘤。通过计算机断层扫描(CT)以及腹腔干和肠系膜动脉血管造影进行诊断。出血通过弹簧圈栓塞成功治愈。