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第51卷 第4期 2018-8
Idiopathic isolated omental panniculitis presenting with intestinal obstruction

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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
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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
Jejunostomy tube-induced intussusception

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

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第51卷 第3期 2018-6
Association between laboratory markers and oncological outcomes in patients with osteosarcoma – A review of osteosarcoma treatment in Indonesia

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第51卷 第3期 2018-6
Thoracoscopic repair of esophageal atresia: Comparison with open approach

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第51卷 第3期 2018-6
Hypotensive effect of labetalol and dexmedetomidine blood loss and surgical conditions in functional endoscopic sinus surgery: A double‑blind randomized clinical trial

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第51卷 第3期 2018-6
Lessening hepatic injury in cholestatic liver by optimal dietary docosahexaenoic acid supplementation in rats

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第51卷 第2期 2018-4
Abdominoscrotal hydrocele: A rare cause of a cystic abdominal mass in children

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第51卷 第2期 2018-4
Management of hemodynamically unstable, ruptured multiple hepatic artery pseudoaneurysms by open surgery combined with endovascular embolization

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第51卷 第2期 2018-4
Can female urethral calculus present with acute urinary retention?

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第51卷 第2期 2018-4
Metachronous adenocarcinoma and large cell neuroendocrine carcinoma of the colon

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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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