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腹腔镜胆囊切除术后22个月,右肝动脉动脉瘤导致的胆道出血:病例报告

Hemobilia through aneurysm of the right hepatic artery, 22 months after laparoscopic cholecystectomy: case presentation.

作者信息

CreŢu Octavian Marius, Dan Radu Gheorghe, Blidişel Iulian Alexandru Ciprian, Sima LaurenŢiu Vasile, Munteanu Mihnea, Păun Ion

机构信息

Department of Surgery 1, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania;

出版信息

Rom J Morphol Embryol. 2017;58(1):197-199.

Abstract

Hemobilia is a rare cause of upper digestive bleeding, and it should be suspected when there are traumas of the liver area or surgical or exploratory interventions of the liver-bile-pancreas area in the patient's history. Iatrogenic bleeding occurs, most often, after transcutaneous bile punctures, laparoscopic cholecystectomies, cateterisms of the biliary ways. After such interventions, hemobilia may appear earlier, but also up to a few months later. We present a case of massive hemobilia occurring 22 months after a laparoscopic cholecystectomy.

摘要

胆道出血是上消化道出血的罕见原因,当患者既往有肝区外伤或肝胆胰区域的手术或探查性干预时,应怀疑此病。医源性出血最常发生在经皮胆汁穿刺、腹腔镜胆囊切除术后、胆道插管后。在这些干预措施之后,胆道出血可能较早出现,但也可能在几个月后才出现。我们报告一例腹腔镜胆囊切除术后22个月发生的大量胆道出血病例。

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