A case of arterio-biliary fistula during transjugular intrahepatic portosystemic shunt
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摘要: <正>1病例资料患者女性,60岁,因"皮肤瘙痒6个月,黑便、呕血2个月,再发1 d"于2017年11月于本院就诊。该患者入院6个月前,因皮肤瘙痒于本院就诊,实验室检查示:TBil 38. 2μmol/L,DBil23. 8μmol/L,ALT 78 U/L,AST 82 U/L,ALP 504 U/L,GGT 45U/L; Ig G 14. 2 g/L,Ig M 1220 mg/L,抗线粒体M2抗体阳性。腹
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关键词:
- 肝硬化 /
- 肝动脉-胆管瘘 /
- 门体分流术,经颈静脉肝内 /
- 手术中并发症 /
- 病例报告
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[1]KASWALA D, GANDHI D, MOROIANU A, et al.Hemobilia secondary to transjugular intrahepatic portosystemic shunt procedure:A case report[J].J Clin Med, 2012, 1 (1) :15-21. [2]Interventional Group, Chinese Society of Radiology, Chinese Medical Association.Expert consensus on transjugular intrahepatic portosystemic shunt[J].J Clin Hepatol, 2017, 33 (7) :1218-1228. (in Chinese) 中华医学会放射学分会介入学组.经颈静脉肝内门体分流术专家共识[J].临床肝胆病杂志, 2017, 33 (7) :1218-1228. [3]YIN X, LEI X, XU C, et al.Hepatic artery embolization cures the acute pancreatitis associated with a tiny arteriobiliary fistula after TIPS:A case report[J].Medicine, 2017, 96 (50) :e9267. [4]MENZEL J, VESTRING T, FOERSTER EC, et al.Arterio-biliary fistula after transjugular intrahepatic portosystemic shunt:A lifethreatening complication of the new technique for therapy of portal hypertension[J].Z Gastroenterol, 1995, 33 (5) :255-259. [5]CORRAL JE, MOUSA OY, RIEGERT-JOHNSON DL.Massive gastrointestinal bleeding after transjugular intrahepatic portosystemic shunt (TIPS) [J].Gut, 2018, 67 (6) :1123. [6]MALLERY S, FREEMAN ML, PEINE CJ, et al.Biliary-shunt fistula following transjugular intrahepatic portosystemic shunt placement[J].Gastroenterology, 1996, 111 (5) :1353-1357. [7]SARR MG, KAUFMAN SL, ZUIDEMA GD, et al.Management of hemobilia associated with transhepatic internal biliary drainage catheters[J].Surgery, 1984, 95 (5) :603-607. [8]WILLNER IR, EL-SAKR R, WERKMAN RF, et al.A fistula from the portal vein to the bile duct:An unusual complication of transjugular intrahepatic portosystemic shunt[J].Am JGastroenterol, 1998, 93 (10) :1952-1955. [9]GONZALEZ-ABRALDES J, MOITINHO E, GARCIA-PAGANJC, et al.Selective arterial embolization for life threatening hemobilia after transjugular intrahepatic portosystemic shunt placement[J].J Hepatol, 2001, 34 (1) :174-176. [10]SEDAT J, PADOVANI B, CHANALET S.Arterioportal fistula after transjugular intrahepatic portosystemic shunt placement[J].AJR Am J Roentgenol, 1995, 164 (1) :259. [11]MIZOBATA Y, YOKOTA J, YAJIMA Y, et al.Two cases of blunt hepatic injury with active bleeding from the right inferior phrenic artery[J].J Trauma, 2000, 48 (6) :1153-1155. [12]BAKER AR, CORLETT SK, COOKSON JB, et al.Hemobilia treated by nasobiliary catheterization[J].Am J Gastroenterol, 1987, 82 (8) :783-785. [13]YOSHIDA J, DONAHUE PE, NYHUS LM.Hemobilia:Review of recent experience with a worldwide problem[J].Am JGastroenterol, 1987, 82 (5) :448-453. [14]SABATE M, IBANEZ L, PEREZ E, et al.Paracetamol in therapeutic dosages and acute liver injury:Causality assessment in a prospective case series[J].BMC Gastroenterol, 2011, 11:80. [15]HENDREN WH, WARSHAW AL, FLEISCHLI DJ, et al.Traumatic hemobilia:Non-operative management with healing documented by serial angiography[J].Ann Surg, 1971, 174 (6) :991-993. [16]HASKAL ZJ, PENTECOST MJ, RUBIN RA.Hepatic arterial injury after transjugular intrahepatic portosystemic shunt placement:Report of two cases[J].Radiology, 1993, 188 (1) :85-88.
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