Nezu Yasuko, Nakaji So, Fujii Hiroyuki, Ishii Eiji, Hirata Nobuto
Department of Gastroenterology, Tohoku Rosai Hospital, Sendai, Miyagi, Japan.
Department of Gastroenterology, Kameda Medical Center, Kamogawa, Chiba, Japan.
Endoscopy. 2014 Mar;46(3):248-51. doi: 10.1055/s-0033-1359178. Epub 2014 Feb 26.
We present three cases of pseudoaneurysm caused by self-expandable metal stents that formed arteriobiliary fistulas and caused hemobilia. Diagnoses were made on the basis of dynamic computed tomography or angiography. One patient died because of bleeding and cholangitis, whereas the others were successfully treated by transarterial embolization.
我们报告了3例由自膨式金属支架引起的假性动脉瘤病例,这些支架形成了动脉胆管瘘并导致胆道出血。诊断基于动态计算机断层扫描或血管造影。1例患者因出血和胆管炎死亡,而其他患者通过经动脉栓塞成功治疗。