切除を必要とした膵頭十二指腸切除術後の仮性肝動脈瘤の1例

• 木村 充志

  県立尾張病院外科

• 池沢 輝男

  県立尾張病院外科

• 浅野 昌彦

  県立尾張病院外科

• 岩塚 靖

  県立尾張病院外科

• 内木 研一

  県立尾張病院外科

書誌事項

タイトル別名

• SURGICALLY TREATED HEPATIC ARTERY PSEUDOANEURYSM AFTER PANCREATODUODENECTOMY-A CASE REPORT-

抄録

A 74-year-old woman underwent pancreatoduodenectomy for a carcinoma of the common bile duct. On the 7th postoperative day, there was sudden onset of bleeding through the drain. At the emergent laparotomy, a large thrombotic mass was found in the upper abdomen but there was no active bleeding.<br> On the 14th postoperative day, similar bleeding occurred again. As angiographic examination revealed a pseudoaneurysm of the right hepatic artery which ruptured toward the choledochojejunostomy, she underwent transarterial embolization. Four weeks after the first operation, she suffered from frequent hematoemesis. Radiologic examination revealed that the pseudoaneurysm was still viable. Re-embolization was abandoned because it was supplied not only from the recanalized right hepatic artery but also from the left hepatic artery. The aneurysm was ligated proximally and distally and resected, and the broken choledochojejunostomy was repaired.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 61 (3), 762-765, 2000

  日本臨床外科学会

キーワード

• 肝仮性動脈瘤
• 消化管出血
• 膵頭十二指腸切除

詳細情報

• CRID: 1390282679823666816
• NII論文ID: 130003601827
• NII論文ID: 10009378350
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.61.762
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/3/61_3_762/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000192184
• データソース種別:
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  • CiNii Articles
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