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題名 | 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 |
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作者 | 鐘國禎; 林子傑; 胡松原; 吳誠中; | 書刊名 | 臺灣急診專科醫師期刊 |
卷期 | 3:4 2011.12[民100.12] |
頁次 | 頁117-121 |
分類號 | 416.263 |
關鍵詞 | 肝總動脈; 假性動脈瘤; 經導管動脈栓塞術; Common hepatic artery; Pseudoaneurysm; Transcatheter arterial embolization; |
語文 | 英文(English) |
中文摘要 | 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。 |
英文摘要 | 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. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。