Dunlop W, Lindsay R, Morrish H F, Preshaw R M
Can J Surg. 1977 Sep;20(5):441-3.
Although there have been many reports of hemobilia, its association with an arteriovenous fistula within the liver is extremely rare, only two cases having been reported in the world literature. The authors describe a third case in which a gunshot injury to the liver of a 19-year-old man resulted in the development of hemobilia demonstrated radiologically to be associated with an arteriovenous fistula. The condition was successfully managed by ligation of the proximal hepatic artery.
尽管已有许多关于胆道出血的报道,但其与肝内动静脉瘘的关联极为罕见,世界文献中仅报道过两例。作者描述了第三例病例,一名19岁男性肝脏遭受枪伤后出现胆道出血,经放射学检查证实与动静脉瘘有关。该病症通过结扎肝动脉近端成功得到治疗。