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无结石性胆囊炎继发右肝动脉假性动脉瘤

Right hepatic artery false aneurysm secondary to acalculous cholecystitis.

作者信息

Bennett Joanne, Fay Dominic, Krysztopik Richard

机构信息

Department of Medical Education, North Bristol NHS Trust, Bristol, UK.

出版信息

BMJ Case Rep. 2010 Nov 29;2010:bcr0820103258. doi: 10.1136/bcr.08.2010.3258.

DOI:10.1136/bcr.08.2010.3258
PMID:22798098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3028025/
Abstract

The present report describes a case of an extrahepatic right hepatic artery pseudoaneurysm caused by acalculous cholecystitis. An 85-year-old man was admitted with abdominal pain, cachexia and jaundice. A CT scan showed a saccular false right hepatic artery aneurysm within a soft tissue and fluid mass that was causing biliary obstruction. The soft tissue mass raised the possibility of malignant disease, but this resolved slowly after a period of time and on reviewing the patient's history the only upper gastrointestinal problem noted was an episode of acalculous cholecystitis 3 months previously, which was believed to be the cause of the pseudoaneurysm. The false aneurysm was treated successfully with coil embolisation and the patient recovered fully from this illness.

摘要

本报告描述了一例由非结石性胆囊炎引起的肝外右肝动脉假性动脉瘤病例。一名85岁男性因腹痛、恶病质和黄疸入院。CT扫描显示在一个导致胆道梗阻的软组织和液性肿块内有一个囊状右肝动脉假性动脉瘤。软组织肿块增加了恶性疾病的可能性，但一段时间后病情缓慢缓解，回顾患者病史，唯一注意到的上消化道问题是3个月前发生的一次非结石性胆囊炎，据信这是假性动脉瘤的病因。假性动脉瘤通过弹簧圈栓塞成功治疗，患者已完全康复。

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Rupture of hepatic aneurysm complicating hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease) for which hepatic arterial coil embolization was effective.肝动脉瘤破裂并发遗传性出血性毛细血管扩张症（奥斯勒-韦伯-伦杜病），肝动脉线圈栓塞术对此有效。
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