Department of Radio-Diagnosis, All India Institute of Medical Sciences, Patna, India.
Department of Gastroenterology, All India Institute of Medical Sciences, Patna, India.
Am J Trop Med Hyg. 2019 Jul;101(1):157-159. doi: 10.4269/ajtmh.19-0103.
Intrahepatic pseudoaneurysm (IHPA) is generally iatrogenic, and it warrants urgent management because of its reportedly significant risk of rupture leading to considerable mortality. Intrahepatic pseudoaneurysm caused by amebic liver abscess (ALA) is exceedingly rare with fewer than seven published reports. All reported symptomatic cases have been treated with hepatic artery embolization; therefore, little is known about its natural course and effect of abscess drainage on its outcome. We report the first case of symptomatic intracavitary IHPA caused by ALA in which ultrasound-guided percutaneous catheter drainage of the abscess resulted in the spontaneous resolution of the IHPA.
肝内假性动脉瘤 (IHPA) 通常是医源性的，由于其破裂风险较大，可能导致较高的死亡率，因此需要紧急处理。由阿米巴肝脓肿 (ALA) 引起的肝内假性动脉瘤极为罕见，仅有不到 7 篇文献报道。所有报道的有症状病例均采用肝动脉栓塞治疗；因此，对其自然病程和脓肿引流对其结果的影响知之甚少。我们报告首例由 ALA 引起的有症状的腔内 IHPA，经超声引导经皮导管引流脓肿后，IHPA 自发消退。
