Takatori Nanae, Patel Derek
Division of Gastroenterology, University of California San Diego, La Jolla, CA.
ACG Case Rep J. 2018 Mar 28;5:e26. doi: 10.14309/crj.2018.26. eCollection 2018.
Hepatic artery pseudoaneurysms are a rare cause of upper gastrointestinal bleeding with a high mortality rate. We report a case of a 37-year-old woman who presented with massive gastrointestinal hemorrhage and was found to have an arterioenteric fistula from a hepatic artery pseudoaneurysm. Esophagogastroduodenoscopy revealed a 1.5-cm ulcer overlying a large mucosal bulge that compressed the lumen of the duodenal bulb. A vascular stent graft was placed successfully over the pseudoaneurysm neck. We report the first case of the unique intraluminal appearance of an enteric fistula related to a hepatic artery pseudoaneurysm.
肝动脉假性动脉瘤是上消化道出血的罕见原因，死亡率很高。我们报告一例37岁女性，她出现大量胃肠道出血，经检查发现是肝动脉假性动脉瘤导致的动脉肠瘘。食管胃十二指肠镜检查发现十二指肠球部有一个1.5厘米的溃疡，其下方有一个大的黏膜隆起，压迫十二指肠球部管腔。一个血管内支架移植物成功地放置在假性动脉瘤颈部。我们报告了首例与肝动脉假性动脉瘤相关的肠瘘独特腔内表现的病例。
