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医源性活检后伴有假性动脉瘤的胆道出血

Iatrogenic post biopsy hemobilia with pseudoaneurysm.

作者信息

Qureshi Muhammad Saleem, Iqbal Musarrat, Butt Muhammad Qaisar, Nomani Ali Zohair

机构信息

Department of Medicine, Khan Research Laboratories (KRL) Hospital, Islamabad.

出版信息

J Coll Physicians Surg Pak. 2014 Nov;24(11):865-7.

Abstract

Hemobilia is defined as bleeding into the biliary tree from an abnormal communication between a blood vessel and bile duct. It is an uncommon cause of upper gastrointestinal hemorrhage and iatrogenic most of the times. We report a case of hemobilia secondary to percutaneous liver biopsy presenting with classical Quincke's triad in a young lady which was treated with combined biliary balloon sweep thrombectomy and transarterial embolization for complete resolution of symptoms.

摘要

胆道出血定义为血管与胆管之间异常交通导致血液流入胆道系统。它是上消化道出血的罕见原因,多数情况下为医源性。我们报告一例年轻女性经皮肝穿刺活检继发胆道出血的病例,该患者出现典型的昆克三联征,通过联合胆道球囊清扫血栓切除术和经动脉栓塞术治疗,症状完全缓解。

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