病例报告:当动脉背叛时:移植后大出血。

Transplantation proceedings Pub Date : 2024-11-01 Epub Date: 2024-10-28 DOI:10.1016/j.transproceed.2024.10.005
Laura Kek, Lillian Wang, Joseph C Ahn, Rachel Davis, Chad Fleming, William Sanchez, Eric Williamson, Nayantara Coelho-Prabhu
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引用次数: 0

摘要

肝动脉假性动脉瘤是一种罕见的并发症,可能发生在肝移植和其他肝胆系统创伤性器械手术中。这种情况有很大的发病率和死亡率风险,必须立即诊断和干预。在此,我们介绍了一例肝移植后胆漏并发失血性休克的肝动脉假性动脉瘤病例。在本病例中,患者最终通过肝血管造影确诊,并接受了肝动脉栓塞治疗,随后需要进行再移植手术。该病例的目的是证明临床上高度怀疑肝移植后肝动脉假性动脉瘤的重要性,强调使用计算机断层扫描血管造影作为主要诊断工具,并在治疗过程中尽早介入放射学。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report: When Arteries Betray: Massive Post-transplantation Hemorrhage.

Hepatic artery pseudoaneurysm is a rare complication that may occur in the setting of liver transplantation and other traumatic instrumentation of the hepatobiliary system. This condition poses a significant morbidity and mortality risk and must be diagnosed and intervened upon emergently. Herein we present a case of hepatic artery pseudoaneurysm complicated by hemorrhagic shock in the setting of a post-liver transplant biliary leak. In this case, the patient was ultimately diagnosed via hepatic angiogram, treated with hepatic artery embolization, and required subsequent retransplantation. The objective of this case was to demonstrate the importance of maintaining a high clinical suspicion for hepatic artery pseudoaneurysm in the post-transplant setting, emphasize the use of computed tomography angiography as a primary diagnostic tool, and involving interventional radiology early in the treatment course.

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