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JYMS : Journal of Yeungnam Medical Science

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Jae Young Jang 1 Article
Coil embolization of ruptured intrahepatic pseudoaneurysm through percutaneous transhepatic biliary drainage
Jee Young An, Jae Sin Lee, Dong Ryul Kim, Jae Young Jang, Hwa Young Jung, Jong Ho Park, Sue Sin Jin
Yeungnam Univ J Med. 2018;35(1):109-113.   Published online June 30, 2018
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AbstractAbstract PDF
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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JYMS : Journal of Yeungnam Medical Science