Kirchgatterer A, Allinger S, Spöttl A, Zisch R, Funk S, Messenbäck F, Haidenthaler A, Höbling W, Kramar R
III. Interne Abteilung, Barmherzigen Schwestern, Wels, Osterreich.
Wien Klin Wochenschr. 1998 Apr 24;110(8):298-301.
A 52-year old woman was admitted to the hospital because of upper abdominal pain and hematemesis. Laboratory parameters showed marked cholestasis. Endoscopic retrograde cholangiopancreatography (ERCP) lead to the diagnosis of hemobilia. CT-scan and angiography revealed an aneurysm of the cystic artery as the cause of hemobilia. Cholecystectomy was performed because of concomitant cholecystitis. Anatomical examination confirmed clinical diagnosis.
一名52岁女性因上腹部疼痛和呕血入院。实验室检查结果显示明显的胆汁淤积。内镜逆行胰胆管造影(ERCP)诊断为胆道出血。CT扫描和血管造影显示胆囊动脉动脉瘤是胆道出血的原因。由于合并胆囊炎,进行了胆囊切除术。解剖检查证实了临床诊断。