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Full Text: 
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¿µ³²ÀÇ´ëÇмúÁö Yeungnam Univ J Med 2018;35(1):109-113
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CASE REPORT
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Coil embolization of ruptured intrahepatic pseudoaneurysm through
percutaneous transhepatic biliary drainage |
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Jee Young An1, Jae Sin Lee1, Dong Ryul Kim1, Jae Young Jang1, Hwa Young Jung1, Jong Ho Park2, Sue Sin Jin2
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1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul;
2Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea
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Corresponding Author: Jong Ho Park, Department of
Internal Medicine, Changwon Fatima hospital, 45,
Changi-daero, Uichang-gu, Changwon 51394, Korea
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Tel: +82-2-55-270-1000, Fax: +82-2-55-265-7766
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E-mail: 4796pjhsms@naver.com
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Received: August 17, 2017, Revised: October 18, 2017
Accepted: October 19, 2017
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Abstract
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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.
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Key Words: Keywords: Hepatic artery; Pseudoaneurysm; Hemobilia; Embolization
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