Zuberi Omar Safi, Dinglasan Lu Anne V
Department of Radiology, University of Louisville, Louisville, KY.
Radiol Case Rep. 2017 Nov 21;13(1):167-170. doi: 10.1016/j.radcr.2017.10.015. eCollection 2018 Feb.
We report the case of a 55-year-old patient presenting with biliary obstruction caused by coil migration from a recently performed embolization of a post-traumatic gastroduodenal artery pseudoaneurysm. Based on imaging findings, biliary drain placement was initially performed and the subsequent endoscopy demonstrated coil erosion into the common bile duct and duodenum, resulting in choledochoduodenal fistula. Choledochojejunostomy was thereafter performed to bypass the area of injury.
我们报告了一例55岁患者的病例，该患者因近期对创伤后胃十二指肠动脉假性动脉瘤进行栓塞治疗后弹簧圈移位导致胆道梗阻。根据影像学检查结果，最初进行了胆道引流管置入，随后的内镜检查显示弹簧圈侵蚀进入胆总管和十二指肠，导致胆总管十二指肠瘘。此后进行了胆总管空肠吻合术以绕过损伤区域。
