Sax S L, Athey P A, Lamki N, Cadavid G A
Methodist Hospital, Department of Radiology, Houston, Texas.
J Clin Ultrasound. 1988 Jan;16(1):29-34. doi: 10.1002/jcu.1870160106.
Hemobilia consists of an arteriobiliary fistula, usually due to central liver rupture with bleeding into the biliary tree. It is due to trauma in over 50% of cases, with an increasing incidence of iatrogenically caused hemobilia. The sonographic findings in two cases of traumatic hemobilia are presented and the literature is reviewed. These findings include clot within the gallbladder and the extrahepatic ducts, liver hematoma, and aneurysm of the hepatic artery.
胆道出血由动静脉瘘引起，通常是由于肝中央破裂并出血进入胆管树所致。超过50%的病例是由创伤引起的，医源性胆道出血的发生率正在上升。本文介绍了两例创伤性胆道出血的超声检查结果并对文献进行了综述。这些表现包括胆囊和肝外胆管内的血凝块、肝血肿以及肝动脉动脉瘤。
