Anwar Zahid, Sayani Raza, Kanwal Darakshan, Ali Mohammed, Saeed Mohammed Anwar
Department of Radiology, The Aga Khan University Hospital, Karachi.
J Coll Physicians Surg Pak. 2013 Jul;23(7):504-6.
Acute cholecystitis leading to development of a pseudoaneurysm of the hepatic artery is a very rare complication; however, a pseudoaneurysm resulting in gallbladder neck compression with dilatation of intrahepatic duct giving a Mirizzi syndrome like presentation is virtually unreported to the best of our knowledge. We report a case of a 60 years male patient who presented in emergency department with right hypochondrial pain and mild jaundice. Initial diagnosis of hepatic artery pseudoaneurysm causing compression of neck of gallbladder and common bile duct was made on ultrasound examination. This was resulting in gross distention of gallbladder and mild dilatation of intrahepatic ducts. Findings were confirmed on CT scan. Later successful selective transcatheter arterial embolization of the aneurysm and percutaneous cholecystostomy were performed.
急性胆囊炎导致肝动脉假性动脉瘤形成是一种非常罕见的并发症；然而，据我们所知，导致胆囊颈部受压并伴有肝内胆管扩张从而呈现出类似Mirizzi综合征表现的假性动脉瘤实际上尚无报道。我们报告一例60岁男性患者，该患者因右季肋部疼痛和轻度黄疸就诊于急诊科。超声检查初步诊断为肝动脉假性动脉瘤压迫胆囊颈部和胆总管，这导致胆囊明显扩张和肝内胆管轻度扩张。CT扫描证实了这些发现。随后成功进行了动脉瘤的选择性经导管动脉栓塞术和经皮胆囊造瘘术。
