Trambert J, Reinitz E, Buchbinder S
Department of Diagnostic Radiology, J.D. Weiler Hospital, Bronx, New York 10461.
Cardiovasc Intervent Radiol. 1989 Jan-Feb;12(1):32-4. doi: 10.1007/BF02577123.
Spontaneous hemorrhage caused by ruptured left hepatic artery branch aneurysms occurred in a 49-year-old man with systemic lupus erythematosus. Following evaluation by computerized tomography and angiography, transcatheter embolization of the left hepatic artery resulted in hemostasis. The various etiologies of hepatic artery aneurysms are discussed. This case demonstrates that systemic lupus erythematosus must be considered in the differential diagnosis of hepatic artery aneurysms and spontaneous hepatic hemorrhage.
一名49岁的系统性红斑狼疮男性患者发生了左肝动脉分支动脉瘤破裂导致的自发性出血。在进行计算机断层扫描和血管造影评估后,对左肝动脉进行经导管栓塞实现了止血。文中讨论了肝动脉动脉瘤的各种病因。该病例表明,在肝动脉动脉瘤和自发性肝出血的鉴别诊断中必须考虑系统性红斑狼疮。