Vivas S, Palacio M A, Lomo J, Cadenas F, Linares A, Rodríguez M, Rodrigo L
Servicio de Aparato Digestivo, Hospital Central de Asturias, Oviedo.
Gastroenterol Hepatol. 1998 Feb;21(2):88-9.
The case of a 36-year old male liver transplant recipient hospitalized for upper digestive hemorrhage, jaundice and pain in the right hypochondrium is herein reported. Two hepatic biopsies had been performed 60 and 7 days prior to admission. Bleeding was observed to be from the biliary tract by endoscopy and an arterioportal fistula in the right hepatic lobe by echo-doppler and arteriography was seen. Treatment with selective embolization by arteriography was satisfactory with biliary tract drainage not being required. Doppler echography was used to control the evolution of the patient.
本文报告了一名36岁男性肝移植受者的病例,该患者因上消化道出血、黄疸和右季肋部疼痛入院。入院前60天和7天进行了两次肝活检。通过内镜检查观察到出血来自胆道,通过超声多普勒和动脉造影发现右肝叶存在动脉门静脉瘘。通过动脉造影进行选择性栓塞治疗效果良好,无需进行胆道引流。使用多普勒超声检查来监测患者的病情进展。