She W H, Tsang Simon, Poon Roonie, Cheung T T
Department of Surgery, University of Hong Kong, Hong Kong, China.
Department of Surgery, University of Hong Kong, Hong Kong, China.
Asian J Surg. 2017 Jul;40(4):320-323. doi: 10.1016/j.asjsur.2015.01.002. Epub 2015 Mar 18.
Cystic artery pseudoaneurysm is a rare condition, which usually arises from the complication of gallstone disease. Patients may present with Quinke's triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding). The results can be fatal if present with a ruptured pseudoaneurysm. We report a patient who presented with upper gastrointestinal bleeding, and later diagnosis was confirmed with a computer tomography scan of the abdomen and a three-vessel angiogram. Endovascular intervention was attempted. Although it failed, the patient was eventually cured with an open cholecystectomy.
胆囊动脉假性动脉瘤是一种罕见病症，通常由胆结石疾病的并发症引发。患者可能会出现昆克三联征（上腹部疼痛、梗阻性黄疸和胃肠道出血）。如果假性动脉瘤破裂，后果可能是致命的。我们报告了一名出现上消化道出血的患者，随后通过腹部计算机断层扫描和三血管血管造影确诊。尝试了血管内介入治疗。尽管治疗失败，但患者最终通过开腹胆囊切除术治愈。
