作者
Gürhan Adam, Fahri Günes, Celal Çinar, Halil Bozkaya, Serçin Baş, Erdem Akbal, Fatma Uysal, Mustafa Resorlu, Fusun Adam, Hüseyin Özdemir
发表日期
2014/12
期刊
The American Surgeon
卷号
80
期号
12
页码范围
367-369
出版商
SAGE Publications
简介
A 22-year-old female patient was admitted to the emergency department with nausea and hematemesis. Her history revealed that she underwent LC approximately one year ago. Physical examination revealed tension arterial 90/50 mmHg, pulse rate 100 beats/minute, and right upper quadrant tenderness. Laboratory findings revealed that anemia (hemoglobin 9.5 g/dL) and elevations of a liver test (alanine transaminase: 49 U/L [normal range, 0 to 40 U/L], aspartate transaminase: 109 U/L [normal range, 0 to 40 U/L]). Upper gastrointestinal endoscopy detected hemobilia. Computerized tomography was immediately performed and detected a pseudoaneurysm 18× 10 mm in the gallbladder region and revealed minimal perihepatic fluid. We believe the hemobilia was a result of right hepatic artery pseudoaneurysm rupture. After femoral catheterization under local anesthesia, a selective celiac arteriography was done …
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