Coil embolization of ruptured intrahepatic pseudoaneurysm through percutaneous transhepatic biliary drainage
10.12701/yujm.2018.35.1.109
- Author:
Jee Young AN
1
;
Jae Sin LEE
;
Dong Ryul KIM
;
Jae Young JANG
;
Hwa Young JUNG
;
Jong Ho PARK
;
Sue Sin JIN
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hepatic artery;
Pseudoaneurysm;
Hemobilia;
Embolization
- MeSH:
Aged;
Aneurysm, False;
Arteries;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangitis;
Cholecystitis, Acute;
Common Bile Duct;
Drainage;
Embolization, Therapeutic;
Follow-Up Studies;
Hemobilia;
Hepatic Artery;
Humans;
Rupture;
Tomography, X-Ray Computed
- From:Yeungnam University Journal of Medicine
2018;35(1):109-113
- CountryRepublic of Korea
- Language:English
-
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.
