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特发性胆囊动脉动脉瘤合并胆道出血。

Idiopathic cystic artery aneurysm complicated with hemobilia.

作者信息

Anand Utpal, Thakur Sanjeev Kumar, Kumar Sanjay, Jha Achyutanand, Prakash Vijay

机构信息

Indira Gandhi Institute of Medical Sciences, Sheikhpura, Patna, PIN-800014, Bihar, India (Utpal Anand).

Bihar Institute of Gastroenterology, Kankarbagh, Patna, PIN-800020, Bihar, India (Sanjeev Kumar Thakur, Vijay Prakash).

出版信息

Ann Gastroenterol. 2011;24(2):134-136.

PMID:24714720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3959291/
Abstract

Aneurysm of the cystic artery is not common, and it is a rare cause of hemobilia. Most of reported cases are pseudoaneurysms resulting from either an inflammatory process in the abdomen or abdominal trauma. We report a healthy individual who developed hemobilia associated with cystic artery aneurysm. The patient was managed with cholecystectomy and concomitant aneurysm repair. Visceral artery aneurysms are rare and can rupture with potentially grave outcome due to excessive bleeding. Angiographic embolization is a common method of treatment for visceral artery aneurysms. Open cholecystectomy and aneurysm repair was performed in our patient due to radiological evidence of associated cholecystitis.

摘要

胆囊动脉动脉瘤并不常见,是引起胆道出血的罕见原因。大多数报道的病例是由腹部炎症或腹部创伤引起的假性动脉瘤。我们报告一例与胆囊动脉动脉瘤相关的胆道出血的健康个体。该患者接受了胆囊切除术及动脉瘤修复术。内脏动脉瘤很少见,可能因大出血而破裂,导致严重后果。血管造影栓塞术是治疗内脏动脉瘤的常用方法。由于存在相关胆囊炎的影像学证据,我们的患者接受了开腹胆囊切除术及动脉瘤修复术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/1a794560f7d2/AnnGastroenterol-24-134-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/880c22b4da7b/AnnGastroenterol-24-134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/d0a017c9981c/AnnGastroenterol-24-134-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/62fc66f2a056/AnnGastroenterol-24-134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/1a794560f7d2/AnnGastroenterol-24-134-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/880c22b4da7b/AnnGastroenterol-24-134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/d0a017c9981c/AnnGastroenterol-24-134-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/62fc66f2a056/AnnGastroenterol-24-134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9fd/3959291/1a794560f7d2/AnnGastroenterol-24-134-g004.jpg

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