Galeon M, Goffette P, Van Beers B E, Pringot J
Department of Medical Imaging, Cliniques Universitaires St-Luc, Brussels.
J Belge Radiol. 1997 Dec;80(6):287-8.
The authors report a case of liver trauma with hematoma complicated with a pseudoaneurysm. The latter was suspected on day 7, with a monophasic helical CT and was demonstrated with helical CT angiography. Arteriography confirmed the lesion and showed an associated arteriovenous fistula, unsuspected on helical CT. The pseudoaneurysm was managed with transcatheter embolization, completed with percutaneous embolization because of vascular spasm.
作者报告了一例肝外伤伴血肿并发假性动脉瘤的病例。后者在第7天通过单相螺旋CT被怀疑,螺旋CT血管造影证实了这一情况。动脉造影确认了病变,并显示存在一个螺旋CT未发现的相关动静脉瘘。该假性动脉瘤通过经导管栓塞治疗,因血管痉挛而辅以经皮栓塞。