Abstract
With the spread of laparoscopic cholecystectomy more and more complications are being reported. For the first time in this paper a pseudoaneurysm of the right hepatic artery as a complication of laparoscopic cholecystectomy in a 55 year old patient is described. During embolization the aneurysm ruptured and an emergency laparotomy was performed. The right hepatic artery was ligated. The postoperative course up to follow-up at 6 months was uncomplicated.
Zusammenfassung
Im Rahmen der Verbreitung der laparoskopischen Cholezystektomie werden zunehmend postoperative Komplikationen beobachtet. Es wird erstmalig ein Aneurysma spurium der A. hepatic dextra nach laparoskopischer Cholezystektomie bei einer 55jährigen Patientin sowie dessen Therapie beschrieben. Im Rahmen des radiologischen Embolisationsversuches trat eine Aneurysmaruptur auf, so daß eine Notlaparotomie mit Ligatur der A. hepatica dextra erforderlich wurde. Der postoperative Verlauf über 6 Monate gestaltete sich komplikationslos.
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Literatur
Allison DJ (1978) Therapeutic embolization. Br J Hosp Med 20:707–725
Countryman D, Norwood S, Register D et al. (1983) Hepatic artery aneurysm. Am Surg 49:51ff
Curet P, Baumer R, Roche A, Grellet J, Mereadier M (1984) Hepatic hemobilia of traumatic or iatrogenic origin: Recent advances in diagnosis and therapy, review of the literature from 1976–1981. World J Surg 8: 2ff
Dean TE (1986) False aneurysm of the right hepatic artery complicating cholecystectomy: a report of 2 cases. J Coll Surg 31:95–97
Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko St, Airan MC (1993) Complications of laparoscopic cholecystektomy: A national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 165:9–14
Hacke M, Käufer C (1986) Das Leberarterienaneurysma — Pathogenese und Klinik. Chirurg 57:815–818
Kestenberg W, Mittal V (1992) Post-traumatic pseudoaneurysm of the left hepatic artery initially appearing as upper gastrointestinal hemorrhage secondary to hepatic artery-duodenal fistula. Am surg 58:451–454
Kubale R, Dewis R, Defreyne L, Omlor G, Walter P, Kramann B (1992) Diagnostik und interventionelle Therapie nicht-aortaler abdomineller Aneurysmata. Zentralbl Radiol 146:71
Larson G, Vitale G, Casey J, Evans J, Gilliam G, Heuser L, McGee G, Rao M, Scherm M, Voyles R (1992) Multipractice analysis of laparoscopic cholecystectomy in 1,983 patients. Am J Surg 163:221–226
Lina JR, Jaques P, Mandell V (1979) Aneurysm rupture secondary to transcatheter embolization. Am J Roentgenol 132: 553–556
Loeweneck H, Feifel G (1993) In: Lanz T von, Wachsmuth W (Hrsg) Praktische Anatomie: Bauch 2/6. Springer, Berlin Heidelberg New York Tokyo, pp 240–241
Maclntyre I, Wilson R (1993) Laparoscopic cholecystectomy. Br J Surg 80:552–559
Michels MA (1960) Newer anatomy of the variant blood supply and collateral circulation. JAMA 172:125
Moossa AR, Easter DW, Sonnenberg E van, Casola G, D'Agostino H (1992) Laparoscopic injuries to the Bile Duct. Ann Surg 215:203–208
Nenner R, Imperato P, Alcorn C (1992) Serious complications of laparoscopic cholecystectomy in New York state. NY state J Med 92:179–181
Oldhafer KJ, Hauss J, Ringe B, Pichlmayr R (1990) Aneurysma der A. hepatica: Rekonstruktion der Leberarterie mit einem Vena saphena-Interponat. Chirurg 61:729–731
Ponsky JL (1991) Complications of laparoscopic Cholecystectomy. Am J Surg 161:393–395
Psathakis D, Müller G, Noah M, Diebold J, Bruch HP (1992) Present management of hepatic artery aneurysms. VASA 21: 210–215
Salam TA, Lumsden AB, Martin LG, Smith RB (1992) Nonoperative Management of Visceral Aneurysms and Pseudoaneurysms. Am J Surg 164:215–219
Salo JA, Aarino PT, Järvinen AA, Kivilaakso EO (1989) Aneurysms of Hepatic Arteries. Am Surg 55:705–709
Satoh H (1989) A case of a postoperativ aneurysm of the common hepatic artery which ruptured into the remnant stomach after a radical gastrectomy. Jpn J Surg 19:241–245
Troidl H, Spangenberger W, Langen R, Al-Jaziri A, Eypasch E, Neugebauer E, Dietrich J (1992) Laparoscopic cholecystektomy: Technical performance, safety and patient's benefit. Endoscopy 24:252–262
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Pistorius, G.A., Walter, P., Hildebrandt, U. et al. Aneurysma spurium der A. hepatica. Langenbecks Arch Chir 379, 291–293 (1994). https://doi.org/10.1007/BF00186395
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DOI: https://doi.org/10.1007/BF00186395