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第51卷 第5期 2018-10
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第51卷 第5期 2018-10
Chest wall pleomorphic liposarcoma combined with lung extraskeletal osteosarcoma

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第51卷 第5期 2018-10
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第51卷 第5期 2018-10
Small cell carcinoma of upper urinary tract: A pooled analysis of survival

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Improvement of satisfaction in burn patients receiving adjuvant hyperbaric oxygen therapy

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第51卷 第5期 2018-10
Treatment results in the same surgery method of the high cervical spinal schwannoma

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第51卷 第5期 2018-10
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第51卷 第4期 2018-8
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第51卷 第4期 2018-8
Heterotopic subserosal pancreatic tissue in jejunum

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第51卷 第4期 2018-8
Surgical intervention of a giant gastric gastrointestinal stromal tumor following neoadjuvant therapy with imatinib

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第51卷 第4期 2018-8
Surgical treatment for duodeno‑reno‑cutaneous fistula

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第51卷 第4期 2018-8
Laparoscopic liver resection for polycystic liver disease

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第51卷 第4期 2018-8
The result of emergency cardiac intervention in resuscitated out‑of‑hospital cardiac arrest patients

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第51卷 第4期 2018-8
The use of perforator flaps for the reconstruction of sacral defects: Ten-year experience

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第51卷 第4期 2018-8
Chloroquine induces lysosomal membrane permeabilitymediated cell death in bladder cancer cells

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第51卷 第3期 2018-6
Emphysematous gastritis after radical subtotal gastrectomy for advanced gastric cancer

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第51卷 第3期 2018-6
Primary cervical spine melanoma

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第51卷 第3期 2018-6
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第51卷 第3期 2018-6
Adult‑onset neurocutaneous melanosis with Dandy–Walker malformation

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篇名 Management of hemodynamically unstable, ruptured multiple hepatic artery pseudoaneurysms by open surgery combined with endovascular embolization
作者 Meng‑Hsuan Chung, Yi‑Szu Wen, Hsiuo‑Shan Tseng, Hsin‑Chin Shih
卷期/出版年月 51卷2期 (2018/4)
頁次 83-87
摘要 Hepatic artery pseudoaneurysm is a type of visceral artery aneurysm, which may cause life‑threatening situation if the diagnosis and treatment are delayed after rupture. Increased clinical awareness and aggressive, definitive management are necessary in obtaining optimal outcomes. In general, surgery is the preferred treatment for extrahepatic lesions, whereas embolization is appropriate for intrahepatic aneurysms. However, exploratory laparotomy for vascular ligation or anastomosis is the only way in emergency if the hemodynamic status is unstable. Since the cases of ruptured pseudoaneurysm in both intra‑ and extra‑hepatic artery is rare, we present a case of ruptured hepatic artery pseudoaneurysms with hemorrhagic shock rescued by surgery to stabilize the patient, followed by angioembolization to manage the multiple hepatic aneurysms and provide a review of the current literature on this topic, focusing on appropriate decision‑making under multidisciplinary management.
關鍵詞 Angioembolization, endovascular, hepatic artery aneurysm, liver, pseudoaneurysm
分類 Case Report

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