针对复发性腹水罕见病因的确定性治疗。
Definitive therapy for a rare cause of recurrent ascites.
作者信息
Naghibi Mani, Ward Robert, Shutt James
机构信息
Dorset County Hospital Foundation Trust, Dorset, England, UK.
出版信息
Frontline Gastroenterol. 2012 Jul;3(3):206-209. doi: 10.1136/flgastro-2011-100082. Epub 2012 Apr 19.
Abstract
Extrahepatic arterioportal fistulas are a rare cause of portal hypertension in infants and adults. Most cases of arterioportal fistulas in adults are due to trauma, liver biopsy, surgery or tumours. The authors present a case of arterioportal fistula diagnosed in adult life without any of the above aetiologies. The patient became acutely symptomatic with diarrhoea and ascites at the age of 66 years and was successfully treated with a single endovascular embolisation procedure after failed medical therapy.
摘要
肝外动门脉瘘是婴儿和成人门静脉高压的罕见病因。成人动门脉瘘的大多数病例是由创伤、肝活检、手术或肿瘤引起的。本文作者报告了一例在成年期诊断出的动门脉瘘病例，其并无上述任何病因。该患者66岁时因腹泻和腹水出现急性症状，在药物治疗失败后，通过单次血管内栓塞术成功治愈。
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Management of a traumatic hepatic artery pseudoaneurysm and arterioportal fistula with a combination of a stent graft and coil embolization using flow control with balloon remodeling.采用带膜支架与弹簧圈栓塞联合球囊重塑血流控制技术治疗创伤性肝动脉假性动脉瘤和肝动脉门静脉瘘。
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