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胆囊动脉特发性动脉瘤致胆道瘘引起的胆道出血——临床病例

Hemobilia by idiopathic aneurysm of cystic artery, fistulized in the biliary ways - clinical case.

作者信息

Totolici Bogdan Dan, NeamŢu Carmen, Bodog Florian Dorel, Bungău Simona Gabriela, Goldiş Dan Silviu, Matei Marius, Andercou Octavian Aurel, Amza Oana Lucia, Gyori Zsolt, Coldea Liliana

机构信息

Department of General Medicine, Faculty of Medicine, "Vasile Goldis" Western University, General Surgery Unit, Emergency County Hospital, Arad, Romania;

出版信息

Rom J Morphol Embryol. 2017;58(1):267-270.

Abstract

Aneurysm of the cystic artery is not common, and it is a rare cause of hemobilia. Most of reported cases are pseudoaneurysms resulting from either an inflammatory process in the abdomen or abdominal trauma. We report a healthy individual who developed hemobilia associated with cystic artery aneurysm. Visceral artery aneurysms are rare and can rupture with potentially grave outcome due to excessive bleeding. The patient was managed with cholecystectomy and concomitant aneurysm repair.

摘要

胆囊动脉动脉瘤并不常见,是引起胆道出血的罕见原因。大多数报道的病例是由腹部炎症或腹部创伤引起的假性动脉瘤。我们报告一例与胆囊动脉动脉瘤相关的胆道出血的健康个体。内脏动脉瘤很少见,可能因大量出血而破裂,导致严重后果。该患者接受了胆囊切除术及同期动脉瘤修复术。

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