Watarida S, Shiraishi S, Katsuyama K, Nakajima Y, Yamamoto R, Imura M, Onoe M, Sugita T, Nojima T, Mori A
Second Department of Surgery, Shiga University of Medical Science, Otsu, Japan.
Surg Today. 1999;29(1):83-5. doi: 10.1007/BF02482977.
Performing direct surgery for postoperative hemorrhage caused by intraperitoneal arterial injury is very difficult. We report herein the case of a 52-year-old woman who developed sudden right lower abdominal pain after numerous laparotomies and radiotherapy for advanced uterine cancer. A diagnosis of pseudoaneurysm of the right external iliac artery was made, and an emergency catheter embolization and femorofemoral bypass was successfully performed under local anesthesia. The patient was able to walk the next day. To the best of our knowledge, this is the first report of such a combined procedure in the literature.
对腹膜内动脉损伤引起的术后出血进行直接手术非常困难。我们在此报告一例52岁女性患者，该患者因晚期子宫癌接受多次剖腹手术和放疗后突发右下腹痛。诊断为右髂外动脉假性动脉瘤，并在局部麻醉下成功进行了急诊导管栓塞和股股旁路手术。患者第二天就能行走。据我们所知，这是文献中首次报道这种联合手术。
