胆囊动脉假性动脉瘤所致的胆道出血：腹腔镜胆囊切除术罕见的晚期并发症
Hemobilia Due to Cystic Artery Pseudoaneurysm: A Rare Late Complication of Laparoscopic Cholecystectomy.
作者信息
Badillo Ricardo, Darcy Michael D, Kushnir Vladimir M
机构信息
Division of Gastroenterology, Washington University School of Medicine, St Louis, MO.
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO.
出版信息
ACG Case Rep J. 2017 Mar 15;4:e38. doi: 10.14309/crj.2017.38. eCollection 2017.
Abstract
We discuss a patient with late presentation of hemobilia following cholecystectomy, which is unusual because pseudoaneurysm caused by vascular injury during surgery typically presents soon after surgery. Endoscopic retrograde cholangiopancreatography revealed a large blood clot arising from the biliary orifice with subsequent computed tomography angiography diagnosing a large pseudoaneurysm in the region of the cystic artery adjacent to the cholecystectomy clips. Embolization was performed via direct percutaneous puncture of the pseudoaneurysm.
摘要
我们讨论了一例胆囊切除术后迟发性胆道出血的患者，这种情况并不常见，因为手术期间血管损伤导致的假性动脉瘤通常在术后不久就会出现。内镜逆行胰胆管造影显示胆管口有一大块血凝块，随后的计算机断层血管造影诊断出在靠近胆囊切除夹的胆囊动脉区域有一个大型假性动脉瘤。通过直接经皮穿刺假性动脉瘤进行了栓塞治疗。
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