期刊文献+

Two-stage treatment of an unusual haemobilia caused by intrahepatic pseudoaneurysm 被引量:2

Two-stage treatment of an unusual haemobilia caused by intrahepatic pseudoaneurysm
下载PDF
导出
摘要 A 84-year-old man with a surgical history of subtotal gastrectomy for gastric cancer was transferred to our department because of a disorder of consciousness. Septic shock due to obstructive suppurative cholangitis secondary to choledocholithiasis was diagnosed. Anemia was also present,and upper gastrointestinal tract endoscopy revealed blood emerging from the Papilla of Vater.The cause of the anemia was identified as haemobilia.Angiography showed a small aneurysm over the artery on segment 3(A3) .The cause of the haemobilia was suspected to be the bleeding into the biliary tree from this aneurysm.Because the patient's general condition was poor,minimally invasive therapy was needed.Transcatheter arterial embolization(TAE) was selected initally.Later,lateral sectionectomy was performed in order to remove the aneurysm on A3. No surgical complication occurred and,after surgery,no haemobilia was identified.In conclusion,a twostage treatment,namely,surgery following TAE,is recommended for patients in a physically poor condition who have haemobilia due to intrahepatic aneurysm. A 84-year-old man with a surgical history of subtotal gastrectomy for gastric cancer was transferred to our department because of a disorder of consciousness. Septic shock due to obstructive suppurative cholangitis secondary to choledocholithiasis was diagnosed. Anemia was also present, and upper gastrointestinal tract endoscopy revealed blood emerging from the Papilla of Vater. The cause of the anemia was identified as haemobilia. Angiography showed a small aneurysm over the artery on segment 3 (A3). The cause of the haemobilia was suspected to be the bleeding into the biliary tree from this aneurysm. Because the patient’ s general condition was poor, minimally invasive therapy was needed. Transcatheter arterial embolization (TAE) was selected initally. Later, lateral sectionectomy was performed in order to remove the aneurysm on A3. No surgical complication occurred and, after surgery, no haemobilia was identified. In conclusion, a two-stage treatment, namely, surgery following TAE, is recommended for patients in a physically poor condition who have haemobilia due to intrahepatic aneurysm.
出处 《World Journal of Hepatology》 CAS 2010年第1期52-54,共3页 世界肝病学杂志(英文版)(电子版)
关键词 TWO-STAGE TREATMENT Haemobilia INTRAHEPATIC PSEUDOANEURYSM Two-stage treatment Haemobilia Intrahepatic pseudoaneurysm
  • 相关文献

参考文献5

二级参考文献1

共引文献14

同被引文献20

  • 1Hiroyuki Sugimoto,Tetsuya Kaneko,Tsuneo Ishiguchi,Katsufumi Takai,Toyohiro Ohta,Yoshikazu Yagi,Soichiro Inoue,Shin Takeda,Akimasa Nakao.Delayed Rupture of a Pseudoaneurysm Following Pancreatoduodenectomy: Report of a Case[J].Surgery Today.2001(10)
  • 2R. Voorhoeve MD,F. L. Moll MD,J. A. M. Letter MD,T. J. Bast MD,J. P. J. Wester MD,P. HTh J. Slee MD.Primary aortoenteric fistula: Report of eight new cases and review of the literature[J].Annals of Vascular Surgery.1996(1)
  • 3Hiroshi Satoh MD,Takashi Morisaki,Hideki Kishikawa.A case of a postoperative aneurysm of the common hepatic artery which ruptured into the remnant stomach after a radical gastrectomy[J].The Japanese Journal of Surgery.1989(2)
  • 4Harald E. Hügel,Wolfgang Oser,Ernst Bodner.Aneurysm of the proper hepatic artery as a rare source of upper gastrointestinal bleeding[J].Gastrointestinal Radiology.1986(1)
  • 5Beatriz Genovés-Gascó,álvaro Torres-Blanco,ángel Plaza-Martínez,David Olmos-Sánchez,Francisco Gómez-Palonés,Eduardo Ortiz-Monzón.Primary Aortoduodenal Fistula in a Patient With Pararenal Abdominal Aortic Aneurysm[].Annals of Vascular Surgery.2012
  • 6Li Zhengrong,Jie Zhigang,Liu Yi,Xie Xiaoping.Management of Delayed Hemorrhage Following Radical Gastrectomy for Gastric Carcinoma Patients[].Hepato Gastroenterology.2012
  • 7James A N,Clark D A,Colman P D.Primary aortoduodenal fistulas with nine ’herald’ bleeds[].The Australian and New Zealand journal of surgery.1998
  • 8Sweeney M S,Gadacz T R.Primary aortoduodenal fistula: manifestation, diagnosis, and treatment[].Journal of Surgery.1984
  • 9Napoli P J,Meade P C,Adams C W.Primary aortoenteric fistula from a posttraumatic pseudoaneurysm[].The Journal of Trauma.1996
  • 10D Lawlor,G DeRose,K Harris,T Forbes.Primary Aorto/Iliac-Enteric Fistula: Report of 6 New Cases[].Vascular and Endovascular Surgery.2004

引证文献2

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部