Kwauk S T, Cameron R, Burbridge B, Keith R G
Department of Surgery, Royal University Hospital, University of Saskatchewan, Saskatoon.
Can J Surg. 1998 Aug;41(4):316-20.
Hemobilia is a rare but recognizable complication of percutaneous transhepatic diagnostic or therapeutic procedures. The diagnosis is sometimes difficult because of the time lag between the procedure and the first symptoms, which can be intermittent. A 35-year-old woman had hemobilia after percutaneous Trucut biopsy of the liver followed by laparoscopic cholecystectomy. The diagnosis of hemobilia was made on clinical grounds, and a pseudoaneurysm of the right hepatic artery was detected on selective angiography. The patient was successfully treated with arterial embolization during angiography.
胆道出血是经皮经肝诊断或治疗性操作的一种罕见但可识别的并发症。由于操作与首发症状之间存在时间间隔,且症状可能是间歇性的,所以诊断有时会很困难。一名35岁女性在经皮肝穿刺活检后行腹腔镜胆囊切除术,发生了胆道出血。根据临床情况做出了胆道出血的诊断,并在选择性血管造影中检测到右肝动脉假性动脉瘤。患者在血管造影期间通过动脉栓塞成功治愈。