Aboujaoude M, Noel B, Beaudoin M, Ghattas G, Lalonde L, Oliva V L
Department of Surgery, Notre-Dame Hospital, Montreal, Quebec, Canada.
J Trauma. 1996 Jan;40(1):123-5. doi: 10.1097/00005373-199601000-00024.
Posttraumatic pseudoaneurysms of the hepatic artery are rare and usually occur as a complication of open abdominal trauma. Even less common is the coexisting presence of enteric fistulization. We report a patient with upper gastrointestinal hemorrhage occurring 3 years after blunt abdominal trauma resulting from a pseudoaneurysm of the proper hepatic artery with duodenal fistulization. The patient was treated successfully by ligation of the proper hepatic artery and closure of the duodenal opening.
创伤后肝动脉假性动脉瘤较为罕见，通常作为开放性腹部创伤的并发症出现。更为少见的是同时存在肠内瘘形成。我们报告一例患者，在腹部钝性创伤3年后因肝固有动脉假性动脉瘤伴十二指肠瘘出现上消化道出血。该患者通过结扎肝固有动脉和闭合十二指肠开口成功治愈。
