隐匿性生长的腹主动脉瘤导致胆道梗阻的不寻常表现。
Unusual presentation of silently growing abdominal aortic aneurysm causing biliary obstruction.
作者信息
Changal Khalid Hamid, Lim Francis, Sunkara Tejasvi, Hamdani Syed Uzair
机构信息
Department of Internal Medicine, Mercy St. Vincent's Medical Center, Toledo, Ohio, USA.
Department of Gastroenterology, Mercy St. Vincent's Medical Center, Toledo, Ohio, USA.
出版信息
BMJ Case Rep. 2017 Sep 25;2017:bcr-2017-220539. doi: 10.1136/bcr-2017-220539.
Abstract
Biliary obstruction is a rare presentation of abdominal aortic aneurysm (AAA). The most common symptoms of AAA are abdominal or back pain and limb ischaemia from thromboembolism. We report a case of a 67-year-old male who was diagnosed with obstructive jaundice secondary to an AAA. CT angiogram revealed compression of the common bile duct by the large AAA, causing diffuse intrahepatic and extrahepatic ductal dilatation. Surgical repair of the aortic aneurysm was successful, and patient's symptoms improved.
摘要
胆管梗阻是腹主动脉瘤（AAA）的一种罕见表现。AAA最常见的症状是腹痛或背痛以及血栓栓塞引起的肢体缺血。我们报告一例67岁男性患者，其被诊断为继发于AAA的梗阻性黄疸。CT血管造影显示巨大的AAA压迫胆总管，导致肝内和肝外胆管弥漫性扩张。主动脉瘤手术修复成功，患者症状改善。
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