RESUMO
Right hepatic artery pseudoaneurysm following laparoscopic cholecystectomy is rare, but its rupture is common. It carries a high mortality rate if not successfully timely managed. In laparoscopic era, surgeons and physicians in general must be aware of this entity and its therapy. Conservative management is not recommended due to the propensity to rupture. Treatment consists on reconstructive surgery or ligation, but coil embolization is the treatment of choice nowadays and should be done without delay. KEY WORDS: Cholecystectomy, Embolization, Laparoscopy, Pseudoaneurysm rupture, Right hepatic artery.
Assuntos
Falso Aneurisma , Colecistectomia Laparoscópica , Embolização Terapêutica , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/etiologia , Falso Aneurisma/terapia , Colecistectomia/efeitos adversos , Colecistectomia Laparoscópica/efeitos adversos , Artéria Hepática/cirurgia , HumanosRESUMO
Malaria continues to be a major health problem in many parts of the world especially in the endemic countries. Though, because of the international travelling, any physician everywhere should know this disease and its complications such as splenic rupture which is rare but life threatening. We report the case of an expatriate Tunisian man who had been working in Togo and who had consulted in Tunisia for an acute abdominal pain. Explorations concluded to a splenic rupture, a rare complication of malaria. Our attitude was conservative based on ressuscitation with monitoring and watchful waiting. The evolution was favorable marked by a significant regression of the splenic hematoma 5 months after hospital discharge. KEY WORDS: Haematoma, Malaria, Splenic rupture, Sub capsular.