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由半猪尾型胆管支架引起的左肝动脉瘤破裂:一个病例报告与文献综述

Masaki Katsurahara¹, Yusuke Noda², Tetsuya Miyata²

¹Department of Gastroenterology, Mie Chuo Medical Center, 2158-5 Hisaimyoujincho, Tsu, Mie, Japan. mkaturahara@yahoo.co.jp.

Clinical journal of gastroenterology

|September 2, 2025

概括

胆管支架的罕见并发症,由肝动脉伪动脉瘤引起的血流,已通过栓塞成功治疗. 这一案例突显了胰腺癌患者胆管支架的潜在风险.

科学领域:

胃肠病学
干预性放射学
血管外科

背景情况:

由于胰腺癌导致的阻塞性黄往往需要胆道干预.
胆管支架是一种常见的胆管排水程序.
虽然很少出现并发症,但胆道干预可能会产生.

研究的目的:

报告一个罕见的血液病例,
调查胆管支架在造成这种并发症中的潜在作用.
描述这种罕见疾病的成功治疗方法.

主要方法:

一名74岁的胰腺癌患者出现了阻塞性黄.
透视逆行胆道瘤造影 (ERCP) 显示出出血和胆道阻塞.
治疗包括放置一个自扩张的金属支架,内疏通,并最终通过导管动脉栓塞 (TAE).

主要成果:

在最初的胆管支架放置后,患者出现了血和黄.
增强的计算机断层扫描发现左肝动脉瘤破裂.
经过成功的TAE治疗, 患者的出血得到缓解,

结论:

肝动脉伪动脉瘤破裂进入胆管是一种罕见的血液病.
胆管支架的插入,特别是在血管结构附近,可能会导致这种并发症.
通过导管进行动脉栓塞是伪动脉瘤引起的血液病的有效治疗方法.

关键词:

一半尾型胆管支架血红细胞肝动脉伪动脉瘤

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