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[Upper gastrointestinal hemorrhage caused by necrotizing cholecystitis with gallstone perforation into the duodenum].

作者信息

Meier K, Krause U, Holtmann G, Eigler F W

机构信息

Abteilung für Allgemeine Chirurgie, Universitätsklinikum Essen-GHS.

出版信息

Chirurg. 1997 Oct;68(10):1035-6. doi: 10.1007/s001040050317.

DOI:10.1007/s001040050317
PMID:9453897
Abstract

A 68-year-old woman suffering from severe upper gastrointestinal bleeding underwent an urgent laparotomy. A necrotizing cholecystitis was found. The source of the bleeding was the eroded cystic artery. Perforation of a giant gallstone led to a fistula into the duodenum. The gallstone was removed from the distal jejunum. The patient's postoperative course was uneventful. Later on a choledochal stenosis had to be treated by stenting. One year after the procedure the patient is alive and well.

摘要

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[Upper gastrointestinal hemorrhage caused by necrotizing cholecystitis with gallstone perforation into the duodenum].
Chirurg. 1997 Oct;68(10):1035-6. doi: 10.1007/s001040050317.
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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。
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