Brambilla G, Gallotti C
Radiol Med. 1987 Jul-Aug;74(1-2):49-58.
A series of 7 cases of hepatic artery aneurysm is reported, pointing out the different features for etiology, localization, shape and size. The diagnostic imaging methods are then analyzed. Conventional radiology is actually useless. Sonography is hardly ever conclusive, even if the association of real time-US with echo-Doppler is likely to be promising. CT often concludes the diagnostic procedure, though the small size of aneurysms may limit its efficacy. Arteriography is the only method fit to occasionally find out small aneurysms and clear eventual diagnostic doubts; it's also mandatory before surgical treatment and allows percutaneous embolization. MR is likely to offer interesting perspectives.
本文报告了7例肝动脉瘤病例,指出了其在病因、位置、形态和大小方面的不同特征。随后分析了诊断成像方法。传统放射学实际上并无用处。超声检查很难得出结论,即便实时超声与回声多普勒联合使用可能很有前景。CT常常能完成诊断流程,不过动脉瘤尺寸较小可能会限制其效用。动脉造影是唯一偶尔能发现小动脉瘤并消除最终诊断疑虑的方法;它也是手术治疗前的必要检查,还能进行经皮栓塞。磁共振成像可能会带来有趣的前景。