Simon M, Burkhardt H
Abteilung Pathologie, Universität Ulm.
Leber Magen Darm. 1988 Apr;18(2):78-83.
A 65-year-old man with fever of unknown origin developed progressive extrahepatic cholestasis. Radiological examination documented a suprarenal abdominal aortic aneurysm. Fatal intraabdominal bleeding occurred, leading to death. Post-mortem examination revealed an earlier retroperitoneal rupture of the aortic aneurysm and massive perianeurysmal inflammation. The blood masses, reaching the porta hepatis, caused progressive obstruction of the extrahepatic bile ducts. Surgical treatment, delayed because of cholestatic and febrile complications, could have prevented the outcome.
一名65岁不明原因发热的男性出现进行性肝外胆汁淤积。影像学检查发现一个肾上腺水平的腹主动脉瘤。发生致命的腹腔内出血，导致死亡。尸检显示主动脉瘤早期腹膜后破裂及巨大的动脉瘤周围炎症。血凝块延伸至肝门，导致肝外胆管进行性梗阻。由于胆汁淤积和发热并发症而延迟的手术治疗本可避免这种结局。
