肝门静脉动静脉瘘致胃食管静脉曲张出血。

J J Tzeng, K H Lai, S C Wen, G H Lo, C W Hsueh, T H Chang
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引用次数: 0

摘要

肝门静脉动瘘通常起源于外伤性,可导致门静脉高压和严重的并发症。我们报告一位34岁女性,有腹部外伤史,5年后出现焦油样便和呕血症状。经上消化道内窥镜诊断为食管和胃静脉曲张并出血。腹部超声和计算机断层扫描有利于非肝硬化门静脉高压症。血管造影显示肝外肝门动静脉瘘。病人接受了手术以纠正病情。肝脏表面光滑,术中结扎了肝总动脉和胃十二指肠动脉。术后过程平淡无奇。静脉曲张后来消失了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gastroesophageal variceal bleeding caused by hepatoportal arteriovenous fistula.

Hepatoportal arteriovenous fistulas are usually traumatic in origin and may result in portal hypertension and serious complications. We report a 34-year-old female with a history of abdominal trauma, who developed symptoms of tarry stools and hematemesis 5 years later. Esophageal and gastric varices with bleeding were diagnosed by upper gastrointestinal endoscopy. Abdominal ultrasonography and computerized tomography favored noncirrhotic portal hypertension. An extrahepatic hepatoportal arteriovenous fistula was demonstrated by angiography. The patient underwent surgery to correct the condition. The liver had a smooth surface and both the common hepatic and gastroduodenal arteries were ligated during surgery. The postoperative course was uneventful. The varices later disappeared.

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