Document Detail


Hemobilia secondary to hepatic artery pseudoaneurysm: an unusual complication of bile leakage in a patient with a history of a resected IIIb Klatskin tumor.
MedLine Citation:
PMID:  16127759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of a 74-year-old woman with a 16-year history of a double bilo-enteric anastomosis due to resected hilar cholangiocarcinoma (Type IIIb Klatskin tumor). The patient presented with cholangitis secondary to benign anastomotic stenosis which resulted in a large intrahepatic biloma. In order to restore the patency of the anastomosis and overcome cholangitis, several attempts took place, including endobiliary stenting, balloon-assisted biloplasty and transhepatic billiary drainage. Anastomotic patency was achieved, complicated, however, by persistent upper gastro-intestinal bleeding, presented as hemobilia. A biloma-induced pseudoaneurysm of the left hepatic artery was diagnosed. This had ruptured into the biliary tract, and presented the actual cause of the hemobilia. Selective embolism of the pseudoaneurysm resulted in control of the hemorrhage, and was successfully combined with transhepatic dilatation of the anastomosis and percutaneous drainage of the biloma. The patient was ultimately cured and seems to be in excellent condition, 5 mo after treatment.
Authors:
Dimitrios Siablis; Zafiria G Papathanassiou; Dimitrios Karnabatidis; Nikolaos Christeas; Constantine Vagianos
Related Documents :
18381859 - Mycotic pseudoaneurysm of the ascending aorta at site of aortic cannulation.
11841739 - Treatment of an iatrogenic petrous carotid artery pseudoaneurysm with a symbiot covered...
20675339 - Pseudoaneurysm of high origin ulnar artery after penetrating trauma.
16127759 - Hemobilia secondary to hepatic artery pseudoaneurysm: an unusual complication of bile l...
12504299 - Traumatic middle meningeal artery pseudoaneurysm and subsequent fistula formation with ...
17015139 - Traumatic pseudoaneurysm of the pharyngeal artery: an unusual cause of hematemesis and ...
21872429 - Duodenal obstruction from mesenteric stents mimicking sma syndrome.
23888909 - Morphology of congenital portosystemic shunts emanating from the left gastric vein in d...
12116739 - Echocardiographic findings of patients with retinal ischemia or embolism.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  11     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-29     Completed Date:  2005-12-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5229-31     Citation Subset:  IM    
Affiliation:
Department of Interventional Radiology, Medical School, University of Patras, Rio 26504 Patras, Greece. papaze@otenet.gr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / complications*
Bile / metabolism*
Bile Duct Neoplasms / surgery*
Female
Hemobilia / etiology*
Hepatic Artery*
Hepatic Duct, Common*
Humans
Klatskin's Tumor / surgery*
Medical Records
Middle Aged
Postoperative Complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Localized intra-abdominal fibromatosis of the small bowel mimicking a gastrointestinal stromal tumor...
Next Document:  Laparoscopic cholecystectomy in situs inversus totalis with "inferior" cystic artery: a case report.