Balthazar E J
Gastrointest Radiol. 1977 Aug 18;2(1):71-4. doi: 10.1007/BF02256469.
A case of a calcified and ruptured hepatic artery aneurysm presenting with hemobilia and massive gastrointestinal bleeding is reported and illustrated. The clinical diagnosis should be entertained whenever the triad of findings (abdominal colic, gastrointestinal bleeding, elevated bilirubin levels) is present. Angiography is the method of choice in confirming this diagnosis. A short review of the clinical and radiographic syndrome of hemobilia with emphasis on the occurence, significance, and prognosis of hepatic artery aneurysms is presented.
本文报告并举例说明了一例钙化破裂的肝动脉瘤，表现为胆道出血和大量胃肠道出血。只要出现三联征（腹部绞痛、胃肠道出血、胆红素水平升高），就应考虑临床诊断。血管造影是确诊该病的首选方法。本文简要回顾了胆道出血的临床和影像学综合征，重点介绍了肝动脉瘤的发生、意义和预后。
