Coil embolization of ruptured intrahepatic pseudoaneurysm through percutaneous transhepatic biliary drainage
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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.
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.
참고문헌 (11)
- Nagaraja R, "Hepatic artery pseudoaneurysms: a singlecenter experience", Ann Vasc Surg, 27, pp.743~749 (2013)[DOI]
- Willson TD, "Spontaneous rupture of a saccular intrahepatic artery aneurysm", Vasc Endovascular Surg, 46, pp.679~681 (2012)[DOI]
- Baggio E, "Treatment of six hepatic artery aneurysms", Ann Vasc Surg, 18, pp.93~99 (2004)[DOI]
- Dolapci M, "Hepatic artery aneurysm", Ann Vasc Surg, 17, pp.214~216 (2003)[DOI]
- Yu YH, "Hepatic artery pseudoaneurysm caused by acute idiopathic pancreatitis", World J Gastroenterol, 18, pp.2291~2294 (2012)[DOI]
- Finley DS, "Hepatic artery pseudoaneurysm: a report of seven cases and a review of the literature", Surg Today, 35, pp.543~547 (2005)[DOI]
- Tessier DJ, "Iatrogenic hepatic artery pseudoaneurysms: an uncommon complication after hepatic, biliary, and pancreatic procedures", Ann Vasc Surg, 17, pp.663~669 (2003)[DOI]
- Lumsden AB, "Hepatic artery aneurysms: the management of 22 patients", J Surg Res, 60, pp.345~350 (1996)[DOI]
- Abbas MA, "Hepatic artery aneurysm: factors that predict complications", J Vasc Surg, 38, pp.41~45 (2003)[DOI]
- 조권현, "간동맥의 가성동맥류에 의한 비외상성 혈액담즙증 1예", Clinical Endoscopy, 33(3), pp.173~177 (2006), 대한소화기내시경학회
- Razik R, "Dissecting pseudoaneurysm of the proper hepatic artery repaired by primary anastomosis: a case report", Case Rep Surg, 2012, pp.804919~ (2012)