De Toeuf J, Gelin A, Janne P, Bremen J, Bremer A
Acta Chir Belg. 1977 Sep-Oct;76(5):501-7.
Two cases of biliary hemorrhage due to false aneurysms are presented, one on an abnormal hepatic artery, the other on the gastroduodenal artery. Half of the cases of biliary hemorrhage have an intrahepatic etiology. Extrahepatic cases are equally divided between the main biliary duct and the gallbladder. Among the diagnostic investigations most authors agree on the choice of selective arteriography of the coeliac trunk. Controle of intrahepatic biliary bleeding can be obtained by partial hepatectomy or by ligation of the hepatic artery which is well tolerated. Treatment of extrahepatic bleeding is more diverse and takes into account both anatomical and surgical possibilities.
本文报告了两例因假性动脉瘤导致的胆道出血病例，一例源于异常肝动脉，另一例源于胃十二指肠动脉。半数胆道出血病例病因在肝内。肝外病例在胆总管和胆囊之间平均分布。在诊断性检查中，大多数作者都认同选择腹腔干选择性动脉造影。肝内胆道出血可通过部分肝切除术或结扎耐受性良好的肝动脉来控制。肝外出血的治疗方式更多样，需综合考虑解剖结构和手术可行性。
