Life-threatening hemobilia caused by hepatic artery pseudoaneurysm: A rare complication of chronic cholangitis

被引:3
|
作者
Tsu-Te Liu [1 ]
Ming-Chih Hou [1 ]
Han-ChiehLin [1 ]
Full-Young Chang [1 ]
Shou-Dong Lee [1 ]
机构
[1] Division of Gastroenterology,Department of Medicine,Taipei-Veterans General Hospital,and School of Medicine,National Yang Ming University,Taipei,Taiwan,China
关键词
of; as; with; A rare complication of chronic cholangitis; Life-threatening hemobilia caused by hepatic artery pseudoaneurysm; or; into; by; were;
D O I
暂无
中图分类号
R657.3 [肝及肝管]; R657.4 [胆囊、胆管];
学科分类号
1002 ; 100210 ;
摘要
Hemobilia is one of the causes of obscure gastrointestinalhaemorrhage.Most cases of hemobilia are of iatrogenic ortraumatic origin.Hemobilia caused by a hepatic arterypseudoaneurysm due to ascending cholangitis is very rareand its mechanism is unclear.We report a 74-year-old womanwith a history of surgery for choledocholithiasis 30 yearsago,suffering from a protracted course of life-threateninggastrointestinal bleeding.A small intestines series andendoscopic retrograde cholangiopancreatography revealeda chronic cholangitis with marked contrast reflux into thebiliary tree.Angiography confirmed the bleeding from apseudoaneurysm of the middle hepatic artery.Coilembolization achieved successful hemostasis.We discussedthe mechanism and reviewed the literature.
引用
收藏
页码:2883 / 2884
页数:2
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