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Spontaneous Hemoperitoneum Caused by Ruptured Pseudoaneurysm of the Common Hepatic Artery

假性肝總動脈瘤破裂所致之自發性腹腔出血

摘要


肝動脈假性動脈瘤破裂易致腹腔內出血,死亡率高。一位77歲男子15年前接受幽門成形術,因嚴重上腹部疼痛和出血性腹水到急診,經腹部電腦斷層和腹腔動脈血管攝影檢查確診後,以逆行性精選肝動脈的經導管動脈栓塞止血。

並列摘要


Rupture of a hepatic artery pseudoaneurysm (HAPA) can lead to life-threatening bleeding with a high mortality rate. The most common causes of hepatic artery pseudoaneurysms are trauma, pancreatitis, biliary and pancreatic surgery, and percutaneous biliary drainage. We reported a 77 year-old man with a HAPA rupture associated with a medical history of gastrotomy and pyloroplasty 15 years previously. He presented with severe upper abdomen pain and bloody ascites. Diagnosis was established by abdominal computed tomogrphy and celiac angiography. Transcatheter arterial embolization of HAPA was performed, via retrograde superselection of the common hepatic artery to stop bleeding.

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