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Coil embolization of ruptured intrahepatic pseudoaneurysm through percutaneous transhepatic biliary drainage / 영남의대학술지
Yeungnam University Journal of Medicine ; : 109-113, 2018.
Article Dans Anglais | 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.
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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Artères / Rupture / Tomodensitométrie / Drainage / Angiocholite / Études de suivi / Cholangiopancréatographie rétrograde endoscopique / Faux anévrisme / Conduit cholédoque / Cholécystite aigüe Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte très âgé / Humains langue: Anglais Texte intégral: Yeungnam University Journal of Medicine Année: 2018 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Artères / Rupture / Tomodensitométrie / Drainage / Angiocholite / Études de suivi / Cholangiopancréatographie rétrograde endoscopique / Faux anévrisme / Conduit cholédoque / Cholécystite aigüe Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte très âgé / Humains langue: Anglais Texte intégral: Yeungnam University Journal of Medicine Année: 2018 Type: Article