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供体肝脏附属肝右动脉变异肝移植术后肝假性动脉瘤形成伴胆漏胆管出血1例报告

韩田 张瑞 史志勇 张丽 徐钧

引用本文:
Citation:

供体肝脏附属肝右动脉变异肝移植术后肝假性动脉瘤形成伴胆漏胆管出血1例报告

DOI: 10.3969/j.issn.1001-5256.2022.12.024
基金项目: 

山西省卫生健康委 2020085;

山西省卫生健康委 2020TD08

伦理学声明:本例报告已获得患者知情同意。
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:韩田负责病例资料的收集和论文初稿的撰写;徐钧指导论文的写作思路和定稿;张瑞、史志勇参与病例资料的分析和论文写作的讨论;张丽负责文献分析和论文的修改。
详细信息
    通信作者:

    徐钧,junxuty@163.com

Diagnosis and treatment of hepatic pseudoaneurysm with bile leakage and bile duct hemorrhage after transplantation of donor liver with right hepatic artery variation: A case report

Research funding: 

Natural Science Foundation of Health Commission of Shanxi Provincial 2020085;

Natural Science Foundation of Health Commission of Shanxi Provincial 2020TD08

More Information
    Corresponding author: XU Jun, junxuty@163.com (ORCID: 0000-0003-3755-9660)
  • 图  1  肝移植手术供肝修整照片

    Figure  1.  The donor liver trimming photos of liver transplantation surgery

    图  2  增强CT检查假性动脉瘤

    注:箭头指附属肝右动脉假性动脉瘤。

    Figure  2.  The pseudoaneurysm in enhanced CT examination

    图  3  肝动脉造影

    Figure  3.  Hepatic arteriography

    图  4  选择性附属肝右动脉造影

    Figure  4.  Selective accessory right hepatic arteriography

    图  5  选择性近端胃十二指肠动脉造影

    Figure  5.  Selective proximal gastroduodenal arteriography

    图  6  胆管旁胆汁腔隙与动脉栓塞部位重合

    Figure  6.  The bile leakage adjacent to the bile duct coincides with the arterial embolization site

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    [2] NOUSSIOS G, DIMITRIOU I, CHATZIS I, et al. The main anatomic variations of the hepatic artery and their importance in surgical practice: Review of the literature[J]. J Clin Med Res, 2017, 9(4): 248-252. DOI: 10.14740/jocmr2902w.
    [3] SOIN AS, FRIEND PJ, RASMUSSEN A, et al. Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts[J]. Br J Surg, 1996, 83(5): 637-641. DOI: 10.1002/bjs.1800830515.
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    [5] KARAKOYUN R, ROMANO A, YAO M, et al. Impact of hepatic artery variations and reconstructions on the outcome of orthotopic liver transplantation[J]. World J Surg, 2020, 44(6): 1954-1965. DOI: 10.1007/s00268-020-05406-4.
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    [11] MOURAD MM, ALGARNI A, LIOSSIS C, et al. Aetiology and risk factors of ischaemic cholangiopathy after liver transplantation[J]. World J Gastroenterol, 2014, 20(20): 6159-6169. DOI: 10.3748/wjg.v20.i20.6159.
    [12] HANN A, SETH R, MERGENTAL H, et al. Biliary strictures are associated with both early and late hepatic artery stenosis[J]. Transplant Direct, 2021, 7(1): e643. DOI: 10.1097/TXD.0000000000001092.
    [13] WU Q, SUN Q, MEI B. Hemobilia due to hepatic artery pseudoaneurysm secondary to collateral circulation formation after liver trauma: a case report[J]. BMC Surg, 2021, 21(1): 71. DOI: 10.1186/s12893-021-01078-6.
    [14] CHEN J, WEINSTEIN J, BLACK S, et al. Surgical and endovascular treatment of hepatic arterial complications following liver transplant[J]. Clin Transplant, 2014, 28(12): 1305-1312. DOI: 10.1111/ctr.12431.
    [15] CHERIAN PT, HEGAB B, OLIFF SP, et al. The management of an accessory or replaced right hepatic artery during multiorgan retrieval: results of an angiographic study[J]. Liver Transpl, 2010, 16(6): 742-747. DOI: 10.1002/lt.22075.
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  • 收稿日期:  2022-04-02
  • 录用日期:  2022-06-14
  • 出版日期:  2022-12-20
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