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Large hemobilia caused by a porto-biliary fistula with hepatolithiasis, portal hypertension and poor hepatic function grade: A case report
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摘要: <正>肝内胆管结石合并化脓性胆管炎,结石压迫炎症的胆管壁可致胆管壁溃疡形成,穿透后形成胆管血管瘘,通常为胆管-动脉瘘,而穿入门静脉分支者,可致胆管门静脉瘘,当并存门静脉高压者可致胆道大出血从胆管瘘口喷出,这是胆道大出血少见形式,有关处理的成熟经验报道甚少,尤其是应急处理的效果有时因治疗矛盾多而不够满意。1病例资料
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Key words:
- cholelithiasis /
- hypertension portal /
- livefailure /
- porto-biliary fistula /
- hemobilia
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[1] Imura S, Shimada M, Utsunomiya T, et al. Impract of splenectomy in patients with liver cirrhosis: results from 18 patients in a single center experience[J]. Hepatol Res, 2010, 40 (9) : 894- 900. [2]Rozga J, Jeppsson B, Bengmark S.Portal branch ligation in the rat.Re-evaluation of a model[J].Am J Pathol, 1986, 125 (2) :300-308. [3]Li B, Saliez A, Lambotte L.Prior ligation of portal branches im-proves survival after a 90%portal hepatectomy in the rat[J].EurSurg Res, 1997, 29 (4) :273-279. [4]Kozaka S.Extensive hepatectomy in two stage:an experimentalstudy[J].Arch Jap Chir, 1963, 32 (1) :99-123. -
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