Journal of Yeungnam Medical Science

Case Reports

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; DOI: https://doi.org/10.12701/yujm.2018.35.1.109

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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.

Citations

Citations to this article as recorded by

The efficacy and clinical outcomes of transarterial embolization in acute massive upper gastrointestinal bleeding: a single-center experience
Mehmet TAHTABASI, Mehmet KOLU
Marmara Medical Journal.2021; 34(2): 180. CrossRef
Percutaneous Trans-Hepatic Embolization of an Iatrogenic Extra-Hepatic Pseudoaneurysm of the Right Hepatic Artery in a Patient With Previous Occlusion of the Proper Hepatic Artery: An Endovascular Procedure to Avoid a Difficult Surgical Repair
Giuseppe S. Gallo, Roberto Miraglia, Luigi Maruzzelli, Francesca Crinò, Christine Cannataci, Salvatore Gruttadauria
Vascular and Endovascular Surgery.2021; 55(8): 878. CrossRef

A Case of Ruptured Mycotic Hepatic Artery Aneurysm Successfully Treated Using Arterial Embolization.: Gi Ae Kim, Han Chu Lee, Young Joo Jin, Jee Eun Yang, Min Jung Lee, Ji Hyun Park, Bo Young Lee; Yeungnam Univ J Med. 2012;29(1):24-27. Published online June 30, 2012; DOI: https://doi.org/10.12701/yujm.2012.29.1.24

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Abstract PDF

Mycotic hepatic artery aneurysms (HAAs) have become very rare due to antibiotics. Untreated, they have a high possibility of rupture and mortality. In this paper, on the case of a 67-year-old male who had severe right-upperquadrant abdominal pain and a history of infective endocarditis is reported. The computed tomography (CT) and arterial angiography findings led to a diagnosis of a ruptured mycotic HAA. The CT showed an HAA and the formation of an intrahepatic hematoma caused by aneurysmal rupture. The arterial angiography showed a mycotic HAA that arose from the right posterior hepatic artery. Percutaneous transcatheter arterial embolization was used to successfully treat the HAA. Since then, the patient has been doing well, without symptoms.

Citations

Citations to this article as recorded by

A mycotic hepatic artery aneurysm, a rare complication of aortic valve endocarditis.
Jaime López-Sánchez , José Quiñones Sampedro , Luis Muñoz-Bellvís
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
Hepatic Artery Mycotic Aneurysm Associated with Staphylococcal Endocarditis with Successful Treatment: Case Report with Review of the Literature
Dhara Chaudhari, Atif Saleem, Pranav Patel, Sara Khan, Mark Young, Gene LeSage
Case Reports in Hepatology.2013; 2013: 1. CrossRef

A Case of Hepatocellular Carcinoma after Hepatic Artery Ligation.: Jeong Ill Suh, Joon Hwan Kim, Dong Joon Lee, Ki Yoon Kim, Ho Jung Kang, Chan Won Park, Heon Ju Lee; Yeungnam Univ J Med. 1996;13(1):146-151. Published online June 30, 1996; DOI: https://doi.org/10.12701/yujm.1996.13.1.146

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Abstract PDF: Majority of .hepatocellular carcinoma is evolved from a well differentiated cancerous condition such as hypetptastic lesions eg; adenomatous hyperplasia in cirrhotic liver or de no vo carcinogenesis and prolifenation along with dedifferentiation. Adenomatous hyperplasia is may be seen in severe acute hepatic injury, like svhmassive hepatic necrosis, or in chronic liver diseases, particularly liver cirrhosis and it has recently attracted much interest from both clinicians and pathologists because it is regarded as a precursor lesion of hepatocObdar carcinoma. Hepatic. denomatous hyperplasia resembling focal nodular hyperplasia might have developed from localized vascular changes associated with chronic liver disease, pre-existing arterial malformation and early stage of angiogenesis in hepatocarcinogenesis. .fie present a patient who developed hepatocellular carcinoma after hepatic artery ligation.

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