Hepatic artery pseudoaneurysm following percutaneous transhepatic cholangiogram: an extremely rare complication

被引:0
作者
Tirumanisetty, Pratyusha [1 ]
Sotelo, Jose William [2 ]
Rander, Aditya [1 ]
Syed, Taussif [1 ]
机构
[1] Unity Hosp, Dept Internal Med, Rochester, NY 14626 USA
[2] Univ Autonoma Metropolitana, Dept Internal Med, Coyoacan, Mexico
关键词
biliary intervention; ultrasonography; interventional radiology;
D O I
10.1136/bcr-2019-229335
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 72-year-old female patient who was admitted for ischaemic stroke had developed ascending cholangitis. Percutaneous transhepatic cholangiogram was performed to drain the infected bile, but this was complicated by haemorrhagic shock and hepatic haematoma. Mesenteric angiogram showed right hepatic artery (RHA) pseudoaneurysm which was embolised, there by stopping her bleeding. RHA is normally located posterior to common bile duct (CBD). An uncommon location of RHA is anterior to CBD, which can lead to haemorrhagic complications during percutaneous cholangiogram.
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页数:4
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共 13 条
[1]   Current Status of Percutaneous Transhepatic Biliary Drainage in Palliation of Malignant Obstructive Jaundice: A Review [J].
Chandrashekhara, S. H. ;
Gamanagatti, S. ;
Singh, Anuradha ;
Bhatnagar, Sushma .
INDIAN JOURNAL OF PALLIATIVE CARE, 2016, 22 (04) :378-387
[2]   Hepatic Arterial Injuries in 3110 Patients Following Percutaneous Transhepatic Biliary Drainage [J].
Choi, Sang Hyun ;
Gwon, Dong Il ;
Ko, Gi-Young ;
Sung, Kyu-Bo ;
Yoon, Hyun-Ki ;
Shin, Ji Hoon ;
Kim, Jin Hyoung ;
Kim, Jinoo ;
Oh, Ji Young ;
Song, Ho-Young .
RADIOLOGY, 2011, 261 (03) :969-975
[3]  
GOTHLIN J, 1973, AM J ROENTGENOL, V117, P426
[4]   SIDE-EFFECTS AND COMPLICATIONS AFTER HEPATIC-ARTERY EMBOLIZATION IN THE CARCINOID-SYNDROME [J].
KOLMANNSKOG, F ;
KOLBENSTVEDT, AN ;
SCHRUMPF, E ;
HANSSEN, LE .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1991, 26 (05) :557-562
[5]   Endoscopic retrograde cholangiopancreatography in patients with Roux-en-Y anatomy [J].
Lopes, Tercio L. ;
Baron, Todd H. .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2011, 18 (03) :332-338
[6]   NEWER ANATOMY OF LIVER-VARIANT BLOOD SUPPLY AND COLLATERAL CIRCULATION [J].
MICHELS, NA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1960, 172 (02) :125-132
[7]  
Noussios George, 2017, J Clin Med Res, V9, P248, DOI 10.14740/jocmr2902w
[8]   Analysis of percutaneous transhepatic cholangioscopy-related complications and the risk factors for those complications [J].
Oh, H.-C. ;
Lee, S. K. ;
Lee, T. Y. ;
Kwon, S. ;
Lee, S. S. ;
Seo, D.-W. ;
Kim, M.-H. .
ENDOSCOPY, 2007, 39 (08) :731-736
[9]  
Savader S J, 1992, J Vasc Interv Radiol, V3, P345, DOI 10.1016/S1051-0443(92)72042-9
[10]  
Talpur KAH, 2010, J PAK MED ASSOC, V60, P89