Searles G E, Wellington J L
Department of Surgery, Ottawa General Hospital, Ont.
Can J Surg. 1989 Jul;32(4):292-4.
Rupture of a hepatic artery aneurysm is one of the commonest causes of hemoperitoneum, second only to abdominal aortic rupture. The authors illustrate the difficulties of diagnosis and therapy in their description of the case of a 65-year-old man with a ruptured hepatic artery aneurysm. There are no pathognomonic features, and definitive diagnosis requires selective angiography of the hepatic artery. Early intervention by ligation or reconstruction may improve outcome but is associated with a high death rate. Selective embolization under fluoroscopic control may be preferable.
肝动脉瘤破裂是腹腔积血最常见的原因之一，仅次于腹主动脉破裂。作者在描述一名65岁肝动脉瘤破裂男性患者的病例时，阐述了诊断和治疗的困难。该病没有特征性表现，明确诊断需要进行肝动脉选择性血管造影。早期通过结扎或重建进行干预可能改善预后，但死亡率较高。在荧光镜控制下进行选择性栓塞可能是更好的选择。
