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Case reports in gastroenterology
2019 Jan-Apr;13 (1): 89-94.

Hemobilia Derived from Cystic Artery Pseudoaneurysm.

Takayuki Tanaka, Kazuki Takakura, Yuki Maruyama, Akihisa Hidaka, Masanori Nakano, Yuichi Torisu, Masayuki Saruta
Author Information
  1. Takayuki Tanaka: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
  2. Kazuki Takakura: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
  3. Yuki Maruyama: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
  4. Akihisa Hidaka: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
  5. Masanori Nakano: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
  6. Yuichi Torisu: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
  7. Masayuki Saruta: Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
PMID: 31182944 DOI: 10.1159/000497097

Abstract

Cystic artery pseudoaneurysm (CAP) is a rare disease, with small number of previous reports related to CAP. Besides, it is frequently prone to critical condition due to arterial bleeding. Here, we presented a case of ruptured CAP with acute calculus cholecystitis and its subsequent successful management with temporary endoscopic biliary drainage for obstructive jaundice and embolization for the culprit artery without cholecystectomy. Since CAP is at high risk of bleeding, intravascular treatment, which is only one currently available therapeutic option, is urgently required in the clinical sites.

Keywords

Cholecystitis Cystic artery pseudoaneurysm Embolization Hemobilia Rupture

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Case Reports Journal Article
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Word Cloud

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