胆囊切除术后囊性动脉伪动脉瘤引起的黄和出血:一个病例报告
Jiuzheng Sun1, Taiyang Zuo2, Wenlei Xu1
1Department of Hepatobiliary and Pancreatic Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, China.
Medicine
|August 13, 2025
概括
胆囊切除后的囊性动脉伪动脉瘤 (PSA) 是罕见但严重的. 迅速的成像和微创性跨动脉栓塞 (TAE) 有效地治疗了PSA,解决了黄和出血.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 囊性动脉伪动脉瘤 (PSA) 是一种罕见的,潜在的致命的后拉巴镜胆囊切除术并发症.
- PSA 可以表现为黄和胃肠道出血.
研究的目的:
- 在腹腔镜胆囊切除术后报告囊性动脉伪动脉瘤病例.
- 为突出这一罕见并发症的诊断和治疗方法.
主要方法:
- 一位患有黄和肠道出血的患者在拉巴罗镜胆囊切除术后5个月.
- 多式成像 (MRCP,CT,血管造影) 诊断出2.5厘米的PSA压缩胆道.
- 用卷进行过动脉栓塞 (TAE),以遮住PSA.
主要成果:
- TAE成功地堵塞了PSA,并控制了出血.
- 患者的黄消失了,肝功能恢复正常.
- 在1年的随访期间,患者仍然无症状.
结论:
- 早期的多式成像对于诊断罕见的血管并发症,如囊性动脉PSA至关重要.
- 迅速,微创性干预,如TAE对于成功管理和预防严重后果至关重要.
更多相关视频
04:14Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
210
04:00Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
310
相关概念视频
Diseases of the Liver and Gallbladder
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not related to...
Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Jaundice
Jaundice, or icterus, is the yellow discoloration of the skin, sclerae, and mucous membranes. It happens when plasma bilirubin levels rise above 2.5-3 mg/dL, leading to bilirubin deposition in tissue.Bilirubin is a byproduct of hemoglobin degradation. In macrophages, hemoglobin breaks down into globin and heme. Globin is converted into amino acids, while heme is turned into biliverdin by heme oxygenase, which is then reduced to unconjugated bilirubin by biliverdin reductase.Unconjugated...
Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
