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Aneurysma spurium der A. hepatica

Eine seltene Komplikation nach laparoskopischer Cholezystektomie

Pseudoaneurysm of the right hepatic artery: a rare complication of laparoscopic cholecystectomy

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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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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

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