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儿童肝内动脉瘤破裂导致的胆道出血

Haemobilia due to ruptured intrahepatic aneurysm in a child.

作者信息

Welch G H, Cochran W, Azmy A A, Ziervogel M A

出版信息

Z Kinderchir. 1982 Jun;36(2):66-8. doi: 10.1055/s-2008-1059864.

DOI:10.1055/s-2008-1059864
PMID:6982571
Abstract

This report describes a major life-threatening haemorrhage in a 10-year-old child, following an intraduct rupture of an intrahepatic aneurysm of the right hepatic artery. The onset of the gastro-intestinal bleed was preceded by trauma which may have contributed to the rupture of the pre-existing aneurysm, although the documented initial injury was apparently slight. The bleeding was successfully controlled after ligation of the right hepatic artery.

摘要

本报告描述了一名10岁儿童发生的严重危及生命的出血情况,该出血由右肝动脉肝内动脉瘤的导管内破裂所致。胃肠道出血发生之前有过外伤,这可能促使先前存在的动脉瘤破裂,尽管记录的初始损伤显然轻微。在结扎右肝动脉后,出血得到成功控制。

相似文献

1
Haemobilia due to ruptured intrahepatic aneurysm in a child.儿童肝内动脉瘤破裂导致的胆道出血
Z Kinderchir. 1982 Jun;36(2):66-8. doi: 10.1055/s-2008-1059864.
2
Hemobilia in a patient with multiple intrahepatic, hepatic artery aneurysms.一名患有多发性肝内肝动脉瘤患者的胆道出血
Acta Chir Belg. 2003 Feb;103(1):113-5. doi: 10.1080/00015458.2003.11679379.
3
Intrahepatic artery aneurysm associated with hemobilia. A case report.肝内动脉动脉瘤合并胆道出血。病例报告。
Gastroenterology. 1974 Feb;66(2):254-9.
4
Hemobilia from a ruptured hepatic artery aneurysm in a 16-year-old girl.一名16岁女孩因肝动脉动脉瘤破裂导致的胆道出血。
Turk J Pediatr. 1989 Jan-Mar;31(1):63-70.
5
Hematobilia from ruptured hepatic artery aneurysm. Report of two cases.
Arch Surg. 1983 Jun;118(6):759-61. doi: 10.1001/archsurg.1983.01390060077017.
6
Hemobilia from ruptured hepatic artery aneurysm. Report of a case and review of the literature.
Am J Surg. 1977 Feb;133(2):229-32. doi: 10.1016/0002-9610(77)90087-3.
7
[Recurrent hematemesis and hemobilia in ruptured hepatic artery aneurysm--differential diagnostic aspects of acute, upper gastrointestinal hemorrhage].[肝动脉动脉瘤破裂所致反复呕血与胆道出血——急性上消化道出血的鉴别诊断要点]
Leber Magen Darm. 1996 Jan;26(1):42-6.
8
Emergency cholecystectomy and hepatic arterial repair in a patient presenting with haemobilia and massive gastrointestinal haemorrhage due to a spontaneous cystic artery gallbladder fistula masquerading as a pseudoaneurysm.因自发性胆囊动脉瘘(假性动脉瘤)导致胆血反流和大量胃肠道出血的患者行急诊胆囊切除术和肝动脉修复术。
BMC Gastroenterol. 2013 Mar 3;13:43. doi: 10.1186/1471-230X-13-43.
9
[Hemobilia as a rare cause of gastrointestinal bleeding].[血胆症作为胃肠道出血的罕见病因]
Dtsch Med Wochenschr. 1992 Mar 13;117(11):415-8. doi: 10.1055/s-2008-1062327.
10
[Hemobilia, a rare and difficult diagnosis].
Ned Tijdschr Geneeskd. 1991 May 18;135(20):901-4.

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Diagnostic and therapeutic strategy in severe abdominal trauma in children with multiple trauma.儿童多发伤中严重腹部创伤的诊断与治疗策略
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