内镜下猪尾塑料支架置入术后迟发性严重胆道出血
Late-onset severe biliary bleeding after endoscopic pigtail plastic stent insertion.
作者信息
Yasuda Muneji, Sato Hideki, Koyama Yuki, Sakakida Tomoki, Kawakami Takumi, Nishimura Takeshi, Fujii Hideki, Nakatsugawa Yoshikazu, Yamada Shinya, Tomatsuri Naoya, Okuyama Yusuke, Kimura Hiroyuki, Ito Takaaki, Morishita Hiroyuki, Yoshida Norimasa
机构信息
Muneji Yasuda, Hideki Sato, Yuki Koyama, Tomoki Sakakida, Takumi Kawakami, Takeshi Nishimura, Hideki Fujii, Yoshikazu Nakatsugawa, Shinya Yamada, Naoya Tomatsuri, Yusuke Okuyama, Hiroyuki Kimura, Norimasa Yoshida, Department of Gastroenterology and Hepatology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto 605-0981, Japan.
出版信息
World J Gastroenterol. 2017 Jan 28;23(4):735-739. doi: 10.3748/wjg.v23.i4.735.
Here, we report our experience with a case of severe biliary bleeding due to a hepatic arterial pseudoaneurysm that had developed 1 year after endoscopic biliary plastic stent insertion. The patient, a 78-year-old woman, presented with hematemesis and obstructive jaundice. Ruptured hepatic arterial pseudoaneurysm was diagnosed, which was suspected to have been caused by long-term placement of an endoscopic retrograde biliary drainage (ERBD) stent. This episode of biliary bleeding was successfully treated by transarterial embolization (TAE). Pseudoaneurysm leading to hemobilia is a rare but potentially fatal complication in patients with long-term placement of ERBD. TAE is a minimally invasive procedure that offers effective treatment for biliary bleeding.
在此，我们报告一例因肝动脉假性动脉瘤导致严重胆道出血的病例，该假性动脉瘤在内镜下胆道塑料支架置入术后1年形成。患者为一名78岁女性，表现为呕血和梗阻性黄疸。诊断为破裂的肝动脉假性动脉瘤，怀疑是由内镜逆行胆道引流（ERBD）支架长期放置引起的。通过经动脉栓塞术（TAE）成功治疗了这例胆道出血。导致胆道出血的假性动脉瘤在长期放置ERBD的患者中是一种罕见但可能致命的并发症。TAE是一种微创手术，可为胆道出血提供有效的治疗。
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