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胃十二指肠动脉假性动脉瘤：胆管手术的一种罕见并发症。

Pseudoaneurysm of the Gastroduodenal Artery: A Rare Complication of Bile Duct Surgery.

作者信息

Bouhout Tariq, Kharkhach Ayoub, Ramdani Abdelbassir, Harouachi Abdelhakim, Serji Badr

机构信息

Department of Surgical Oncology, Oncology Hospital of Oujda, Faculty of Medicine and Pharmacy of Oujda, University Mohamed Premier, Oujda, MAR.

出版信息

Cureus. 2024 Jan 30;16(1):e53209. doi: 10.7759/cureus.53209. eCollection 2024 Jan.

DOI:10.7759/cureus.53209
PMID:38425630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10902725/
Abstract

Pseudoaneurysm of the gastroduodenal artery (GDA) is an exceptional complication of common bile duct (CBD) resection. We present the case of a 60-year-old woman with a history of cholecystectomy. The patient was admitted to our hospital for surgical management of the cystic dilatation of the CBD. The patient presented on postoperative day 21 with hemodynamic instability related to a pseudoaneurysm of the GDA. An urgent open surgery was performed with dissection and ligation of the GDA.

摘要

胃十二指肠动脉假性动脉瘤是胆总管切除术后罕见的并发症。我们报告一例60岁有胆囊切除术史的女性病例。该患者因胆总管囊性扩张入我院接受手术治疗。患者术后第21天因胃十二指肠动脉假性动脉瘤出现血流动力学不稳定。遂行急诊开放手术，解剖并结扎胃十二指肠动脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4922/10902725/0ca247d2a461/cureus-0016-00000053209-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4922/10902725/8773888c16ac/cureus-0016-00000053209-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4922/10902725/0ca247d2a461/cureus-0016-00000053209-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4922/10902725/8773888c16ac/cureus-0016-00000053209-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4922/10902725/0ca247d2a461/cureus-0016-00000053209-i02.jpg

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Cureus. 2024 Jan 30;16(1):e53209. doi: 10.7759/cureus.53209. eCollection 2024 Jan.
2
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本文引用的文献

1
Large and bleeding gastroduodenal artery aneurysm: Challenging diagnosis and treatment. A case report.巨大出血性胃十二指肠动脉动脉瘤：具有挑战性的诊断与治疗。病例报告。
Int J Surg Case Rep. 2024 Jan;114:109105. doi: 10.1016/j.ijscr.2023.109105. Epub 2023 Dec 8.
2
Volumetric computed tomography analysis for gastroduodenal and pancreaticoduodenal artery aneurysm formation: A retrospective single-center study.胃十二指肠和胰十二指肠动脉动脉瘤形成的容积 CT 分析：一项回顾性单中心研究。
Medicine (Baltimore). 2022 Jun 17;101(24):e29539. doi: 10.1097/MD.0000000000029539.
3
Visceral artery aneurysm: an unusual cause of abdominal pain.
内脏动脉动脉瘤：腹痛的一种不常见病因。
BMJ Case Rep. 2020 Dec 21;13(12):e238019. doi: 10.1136/bcr-2020-238019.
4
Unusual case of upper gastrointestinal haemorrhage secondary to a ruptured gastroduodenal artery pseudoaneurysm: case presentation and literature review.罕见胃十二指肠动脉假性动脉瘤破裂致上消化道大出血 1 例：病例报告及文献复习。
BMJ Case Rep. 2020 Nov 23;13(11):e236463. doi: 10.1136/bcr-2020-236463.
5
Gigantic Ruptured Aneurysm of the Gastroduodenal Artery Successfully Treated by Coiling.胃十二指肠动脉巨大破裂动脉瘤经弹簧圈栓塞成功治疗
EJVES Short Rep. 2019 Sep 17;45:10-13. doi: 10.1016/j.ejvssr.2019.08.001. eCollection 2019.
6
False in Name Only-Gastroduodenal Artery Pseudoaneurysm in a Recurrently Bleeding Patient: Case Report and Literature Review.仅名义上的假性-胃十二指肠动脉假性动脉瘤在反复出血的患者中：病例报告及文献复习。
Dig Dis Sci. 2019 Nov;64(11):3086-3091. doi: 10.1007/s10620-019-05853-7.
7
Natural history and management of splanchnic artery aneurysms in a single tertiary referral center.单发三级转诊中心内脏动脉动脉瘤的自然史和处理。
J Vasc Surg. 2018 Oct;68(4):1079-1087. doi: 10.1016/j.jvs.2017.12.057. Epub 2018 Mar 21.
8
Visceral artery pseudoaneurysms: two case reports and a review of the literature.内脏动脉假性动脉瘤：两例病例报告及文献综述
J Med Case Rep. 2017 May 4;11(1):126. doi: 10.1186/s13256-017-1291-6.
9
Percutaneous thrombin embolization of a pancreatico-duodenal artery pseudoaneurysm after failing of the endovascular treatment.血管内治疗失败后经皮凝血酶栓塞胰十二指肠动脉假性动脉瘤
World J Radiol. 2014 Aug 28;6(8):629-35. doi: 10.4329/wjr.v6.i8.629.
10
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