胆囊癌致胆囊动脉假性动脉瘤。
Cystic artery pseudoaneurysm due to carcinoma of the gallbladder.
机构信息
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Puducherry, India.
Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Puducherry, India
出版信息
BMJ Case Rep. 2021 Jun 2;14(6):e241714. doi: 10.1136/bcr-2021-241714.
A 52-year-old man, with known case of hypertension and stroke, presented to us with an upper gastrointestinal bleed and abdominal pain. Ultrasonography of the abdomen showed haematoma within the gallbladder (GB), and Doppler ultrasound was suggestive of an aneurysm arising from the cystic artery (CA). CT of the abdomen showed a well-enhancing thick-walled GB suggestive of malignancy. It also showed the presence of a double CA along with an aneurysm of one of the cystic arteries, haematoma within the GB and haemoperitoneum. Digital subtraction angiography confirmed the presence of double CA and CA pseudoaneurysm. The CA was selective catheterised and embolised with -butyl cyanoacrylate glue. The patient underwent extended radical cholecystectomy later and was reported to have adenocarcinoma of the GB.
一位 52 岁男性，有高血压和中风病史，因上消化道出血和腹痛就诊。腹部超声显示胆囊内血肿，多普勒超声提示胆囊动脉（CA）处有动脉瘤形成。腹部 CT 显示胆囊壁增厚强化，提示恶性肿瘤。还显示双 CA 的存在，以及其中一条 CA 的假性动脉瘤、胆囊内血肿和腹腔积血。数字减影血管造影（DSA）证实了双 CA 和 CA 假性动脉瘤的存在。CA 被选择性插管并用丁基氰基丙烯酸酯胶栓塞。患者随后接受了扩大的根治性胆囊切除术，并报告有胆囊腺癌。
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