| Hemoperitoneum secondary to rupture of cystic artery pseudoaneurysm |
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| 作者姓名： | Ali Ghoz Ehab Kheir Anil Kotru Karim Halazun David Kessel Jai Patel J J Peter A Lodge |
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| 作者单位： | HPB and Transplant Unit St James'University Hospital Leeds LS9 7TF，UK，HPB and Transplant Unit St James'University Hospital，Leeds LS9 7TF，UK，HPB and Transplant Unit St James'University Hospital，Leeds LS9 7TF，UK，HPB and Transplant Unit St James'University Hospital，Leeds LS9 7TF，UK，Department of Vascular Radiology St James'University Hospital，Leeds LS9 7TF，UK，Department of Vascular Radiology St James'University Hospital，Leeds LS9 7TF，UK，HPB and Transplant Unit St James'University Hospital，Leeds LS9 7TF，UK |
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| 摘 要： | BACKGROUND:Spontaneous hemoperitoneum of hepato- biliary origin is commonly due to hemorrhage from a liver tumor.It is rarely caused by spontaneous rupture of aneurysm in visceral arteries. METHODS:We report an unusual case of hemoperitoneum caused by rupture of cystic artery pseudoaneurysm,and also outline the approach to its management through surgical and radiological methods. RESULTS:In our patient,the pseudoanurysm was initially treated with percutaneous thrombin injection.However this method of treatment failed after initial success.The pseudoanurysm was finally obliterated successfully using microcoil embolization. CONCLUSIONS:The mainstay of treatment of cystic artery pseudoaneurysm is cholecystectomy and ligation of the aneurysm.Recent publications showed success in using microcoil embolisation.In this case we also outline the use of percutaneous thrombin injection as a definitive treatment method and discuss its success or failure as a new method of treatment.
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Hemoperitoneum secondary to rupture of cystic artery pseudoaneurysm |
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| Ali Ghoz,Ehab Kheir,Anil Kotru,Karim Halazun,David Kessel,Jai Patel J,J Peter A Lodge.Hemoperitoneum secondary to rupture of cystic artery pseudoaneurysm[J].国际肝胆胰疾病杂志,2007(3). |
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| Authors: | Ali Ghoz Ehab Kheir Anil Kotru Karim Halazun David Kessel Jai Patel J and J Peter A Lodge HPB and Transplant Unit and |
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| Institution: | Ali Ghoz,Ehab Kheir,Anil Kotru,Karim Halazun,David Kessel,Jai Patel J and J Peter A Lodge HPB and Transplant Unit,and Department of Vascular Radiology,St James'University Hospital,Leeds LS9 7TF,UK |
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| Abstract: | BACKGROUND:Spontaneous hemoperitoneum of hepato- biliary origin is commonly due to hemorrhage from a liver tumor.It is rarely caused by spontaneous rupture of aneurysm in visceral arteries. METHODS:We report an unusual case of hemoperitoneum caused by rupture of cystic artery pseudoaneurysm,and also outline the approach to its management through surgical and radiological methods. RESULTS:In our patient,the pseudoanurysm was initially treated with percutaneous thrombin injection.However this method of treatment failed after initial success.The pseudoanurysm was finally obliterated successfully using microcoil embolization. CONCLUSIONS:The mainstay of treatment of cystic artery pseudoaneurysm is cholecystectomy and ligation of the aneurysm.Recent publications showed success in using microcoil embolisation.In this case we also outline the use of percutaneous thrombin injection as a definitive treatment method and discuss its success or failure as a new method of treatment. |
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| Keywords: | hemoperitoneum cystic artery pseuodoaneurysm |
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