An Unusual Life-Threatening Hemobilia Caused by Hepatic Pseudoaneurysm Following Choledochostomy: A Case Report  

作　　者：Zijun Liu Shiyong Yang Pengcheng Xi Zijun Liu;Shiyong Yang;Pengcheng Xi(Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing, China)

机构地区：[1]Nanjing First Hospital Affiliated to Nanjing Medical University, Nanjing, China

出　　处：《Case Reports in Clinical Medicine》2016年第2期37-42,共6页临床医学病理报告（英文）

摘　　要：The present report describes a case of hemobilia caused by hepatic pseudoaneurysm. A 63-year-old woman was admitted with abdominal pain and mild jaundice. She was diagnosed as choledocholithiasis and hypersplenism and underwent choledocolithotomy and splenectomy. 9th day post operation, massive fresh blood suddenly flew out from T tube and she underwent emergency abdominal exploration but there were no obvious bleeding sites in the abdominal cavity and no bleeding sites in the biliary tree by choledochoscope. 7th day after the second operation, fresh blood suddenly flew out from T tube again and angiography showed two small peudoaneurysms at the second branch of right hepatic artery which might result in hemobilia. The hemobilia was treated successfully with coil embolisation of peudoaneurysms and she recovers fully.The present report describes a case of hemobilia caused by hepatic pseudoaneurysm. A 63-year-old woman was admitted with abdominal pain and mild jaundice. She was diagnosed as choledocholithiasis and hypersplenism and underwent choledocolithotomy and splenectomy. 9th day post operation, massive fresh blood suddenly flew out from T tube and she underwent emergency abdominal exploration but there were no obvious bleeding sites in the abdominal cavity and no bleeding sites in the biliary tree by choledochoscope. 7th day after the second operation, fresh blood suddenly flew out from T tube again and angiography showed two small peudoaneurysms at the second branch of right hepatic artery which might result in hemobilia. The hemobilia was treated successfully with coil embolisation of peudoaneurysms and she recovers fully.

关 键 词：HEMOBILIA Hepatic Pseudoaneurysm CHOLEDOCHOSTOMY 

分 类 号：R57[医药卫生—消化系统]