肝胆胰外科杂志2026，Vol.38Issue(9)：668-671,4.DOI:10.11952/j.issn.1007-1954.2026.09.010
气肿性胆囊炎继发胆囊动脉假性动脉瘤破裂出血一例
Emphysematous cholecystitis complicated by rupture and hemorrhage of cystic artery pseudoaneurysm:A case report
刘飞 1方玉祥 2郑远 3许海宴 3印山河 3杨卫富3
作者信息
- 1. 南京梅山医院 普外科,江苏 南京 210039||南京医科大学第二附属医院普外科,江苏 南京 210011
- 2. 南京梅山医院介入科,江苏 南京 210039
- 3. 南京梅山医院 普外科,江苏 南京 210039
- 折叠
摘要
Abstract
Emphysematous cholecystitis(EC)and cystic artery pseudoaneurysm(CAP)are both rare clinical entities,and their co-occurrence is extremely uncommon.This paper reported a rare case of EC caused by Klebsiella pneumoniae infection,which was complicated by CAP rupture and hemorrhage.Due to insufficient awareness of vascular complications associated with EC,the patient was initially misdiagnosed,leading to clinical deterioration.Subsequently,a definitive diagnosis was established through a multidisciplinary team(MDT)consultation,and a sequential treatment strategy of"interventional hemostasis combined with drainage for infection control"was implemented.This approach successfully arrested the bleeding source and controlled the infectious focus,stabilizing the patient's condition and allowing for elective cholecystectomy.This study aims to enhance clinicians'cognition regarding EC and its rare complication of CAP,while emphasizing the critical value of early diagnosis and multidisciplinary collaboration in improving patient prognosis.关键词
气肿性胆囊炎/胆囊动脉假性动脉瘤/破裂出血/肺炎克雷伯菌/数字减影血管造影Key words
emphysematous cholecystitis/cystic artery pseudoaneurysm/rupture and hemorrhage/Klebsiella pneumoniae/digital subtraction angiography分类
医药卫生引用本文复制引用
刘飞,方玉祥,郑远,许海宴,印山河,杨卫富..气肿性胆囊炎继发胆囊动脉假性动脉瘤破裂出血一例[J].肝胆胰外科杂志,2026,38(9):668-671,4.
