右肝动脉中的胆脉和创伤后的伪动脉瘤
Ketzarly G Gallardo Durán1, Adrian E Aranda Chavez1, Rodolfo J Castelló Magallanes2
1Digestive and Endocrine Surgery, Instituto Mexicano del Seguro Social, Torreon, MEX.
Cureus
|January 29, 2026
概括
胆管树内出血,也就是胆管树内出血,在胆囊手术几个月后可能会发生. 早期识别和内血管支架对于管理这种罕见但严重的并发症至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 血是上胃肠道出血的罕见原因,定义为进入胆道树的出血.
- 它通常是由肝血管与胆道系统之间的异常通信引起的,通常与肝胆道手术或血管损伤有关.
研究的目的:
- 在没有并发症的腹腔镜胆囊切除术后几个月出现的血液病例报告.
- 突出诊断挑战和成功管理这种罕见的并发症.
主要方法:
- 一个年轻的女性患者的病例报告,在胆囊切除术后出现了反复的胃肠道出血.
- 诊断工作包括上部胃肠道内镜和对比增强计算机断层扫描 (CECT).
- 管理涉及重症监护支持和最终的内血管支架.
主要成果:
- 这名患者出现了间歇性血和血,被诊断为活跃的血.
- 通过CECT检测出肝脏内胆道扩张,肺动,以及右肝动脉伪动脉瘤.
- 患者需要密集护理,输血和血液动力学支持,才能成功安装内血管支架.
结论:
- 胆囊切除术后的几个月内,血会表现出来,往往有微妙或间歇性出血.
- 怀疑的高指数对于早期诊断和干预至关重要.
- 血管内静脉支架是偏好的治疗二次性血栓炎的治疗方法,伪动脉瘤.
相关概念视频
Post-traumatic Stress Disorder
546
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
546
Traumatic Memory
579
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
579
Effect of Hepatic Disease on Pharmacokinetics: Dose Adjustments Due to Hepatic Impairment
274
Hepatic impairment, characterized by decreased liver function, does not uniformly mandate adjustments in drug dosage. Whether dosage modifications are necessary depends on various factors related to the drug's metabolism and elimination pathways. If a drug is primarily excreted via the kidneys and bypasses significant hepatic processing, if it undergoes minimal metabolic transformation in the liver, or if it is volatile and primarily expelled through the lungs, dose adjustments may not be...
274
Hepatic Portal System
5.8K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
5.8K
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
243
Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
243
Hepatic Drug Excretion: Influencing Factors
564
The biliary system of the liver, crucial for bile secretion and drug excretion, comprises intrahepatic bile ducts that merge to form the common hepatic duct. This duct, carrying hepatic bile, combines with the cystic duct, draining the gallbladder and forming the common bile duct, which empties into the duodenum. Bile, produced by hepatic cells lining the bile canaliculi, is composed primarily of water, bile salts, pigments, electrolytes, and lesser amounts of cholesterol and fatty acids. Bile...
564


