Document Detail


Late hepatic artery pseudoaneurysm: a rare complication after resection of hilar cholangiocarcinoma.
MedLine Citation:
PMID:  18855995     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report an unusual pathological entity of a pseudoaneurysm of the right hepatic artery, which developed two years after the resection of a type II hilar cholangiocarcinoma and secondary to an excessive skeletonization for regional lymphadenectomy and neoadjuvant external-beam radiotherapy. After a sudden and massive hematemesis, a multidetector computed tomographic angiography (MDCTA) showed a hepatic artery pseudoaneurysm. Angiography with embolization of the pseudoaneurysm was attempted using microcoils with adequate patency of the hepatic artery and the occlusion of the pseudoaneurysm. A new episode of hematemesis 3 wk later revealed a partial revascularization of the pseudoaneurysm. A definitive interventional radiological treatment consisting of transarterial embolization (TAE) of the right hepatic artery with stainless steel coils and polyvinyl alcohol particles was effective and well-tolerated with normal liver function tests and without signs of liver infarction.
Authors:
Javier Briceño; Alvaro Naranjo; Ruben Ciria; Juan-Manuel Sánchez-Hidalgo; Luis Zurera; Pedro López-Cillero
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  14     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-15     Completed Date:  2009-04-02     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  5920-3     Citation Subset:  IM    
Affiliation:
Hepatobiliary Surgery and Liver Transplantation Unit, Department of Surgery, Hospital Reina Sofia, Avenida Menendez Pidal s/n, Cordoba 14004, Spain. javibriceno@hotmail.com.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, False / etiology*,  radiography,  therapy
Bile Duct Neoplasms / surgery*
Bile Ducts, Intrahepatic / surgery*
Biliary Tract Surgical Procedures / adverse effects*
Chemotherapy, Adjuvant
Cholangiocarcinoma / surgery*
Embolization, Therapeutic
Hematemesis / etiology
Hepatic Artery* / radiography
Humans
Lymph Node Excision
Male
Neoadjuvant Therapy
Radiography, Interventional
Radiotherapy, Adjuvant
Recurrence
Treatment Outcome
Comments/Corrections

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