Coil embolization of ruptured intrahepatic pseudoaneurysm through percutaneous transhepatic biliary drainage / 영남의대학술지
Yeungnam University Journal of Medicine
;
: 109-113, 2018.
Article
in English
| WPRIM
| ID: wpr-787085
ABSTRACT
A 75-year-old man with chronic cholangitis and a common bile duct stone that was not previously identified was admitted for right upper quadrant pain. Acute cholecystitis with cholangitis was suspected on abdominal computed tomography (CT); therefore, endoscopic retrograde cholangiopancreatography with endonasal biliary drainage was performed. On admission day 5, hemobilia with rupture of two intrahepatic artery pseudoaneurysms was observed on follow-up abdominal CT. Coil embolization of the pseudoaneurysms was conducted using percutaneous transhepatic biliary drainage. After several days, intrahepatic artery pseudoaneurysm rupture recurred and coil embolization through a percutaneous transhepatic biliary drainage tract was conducted after failure of embolization via the hepatic artery due to previous coiling. After the second coil embolization, a common bile duct stone was removed, and the patient presented no complications during 4 months of follow-up. We report a case of intrahepatic artery pseudoaneurysm rupture without prior history of intervention involving the hepatobiliary system that was successfully managed using coil embolization through percutaneous transhepatic biliary drainage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Rupture
/
Tomography, X-Ray Computed
/
Drainage
/
Cholangitis
/
Follow-Up Studies
/
Cholangiopancreatography, Endoscopic Retrograde
/
Aneurysm, False
/
Common Bile Duct
/
Cholecystitis, Acute
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
English
Journal:
Yeungnam University Journal of Medicine
Year:
2018
Type:
Article
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