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第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage

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第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer

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第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery

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第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem

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第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern

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第57卷 第1期 2024-1
Role of clinical surgery in management of adverse effect of COVID-19 vaccine

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第57卷 第1期 2024-1
Trends in global research for treating COVID-19 vaccine–related acute appendicitis: A bibliographic analysis

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第57卷 第1期 2024-1
Heterologous vaccination, from rabies vaccine to COVID-19 vaccine: View in clinical surgery

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第57卷 第1期 2024-1
A huge gastric trichobezoar presenting with Rapunzel syndrome: A case report

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第57卷 第1期 2024-1
Multidisciplinary team approach for treating recurrent gastrointestinal bleeding caused by a Dieulafoy lesion

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第57卷 第1期 2024-1
Early decompressive surgery within 72 hours of admission maintains financial advantages for patients with spinal epidural abscess, as evidenced by a retrospective study involving 130 cases

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第57卷 第1期 2024-1
Laparoscopic versus open liver resection for treatment of liver tumors: Early experience outcomes

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第57卷 第1期 2024-1
Hepatobiliary surgery in Taiwan: The past, present, and future. Part I; biliary surgery

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第56卷 第6期 2023-11
New generation of COVID-19 vaccine, new form and new material: What to know in clinical surgery

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第56卷 第6期 2023-11
Jejunojujunal intussusception as a rare complication of feeding jejunostomy

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第56卷 第6期 2023-11
Aortic valve myxoma presenting with sudden visual loss

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第56卷 第6期 2023-11
Candida auris and new concern in clinical surgery

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第56卷 第6期 2023-11
Intra-abdominal paragonimiasis abscess: A note on rare recurrent acute abdomen disease

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第56卷 第6期 2023-11
Death due to rabies after animal bite injury: Incidence pre– and post–COVID-19

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第56卷 第6期 2023-11
Mortality rate due to traffic accident: What is it about its pattern with specific focus on relationship to COVID-19 outbreak?

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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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