ID 110518
Title Transcription
ジュツゴ ミギ カンドウミャク カセイ ドウミャクリュウ ノ ハレツ ニ タイシ キュウメイシエタ 1レイ
Title Alternative
A case report of ruptured pseudoaneurysm of the right hepatic artery successfully controlled
Author
Miyamoto, Hidenori First Department of Surgery, The University of Tokushima School of Medicine
Imatomi, Michiaki Department of Surgery, Oe Kyodo Hospital
Yoshida, Sadahiro Department of Surgery, Oe Kyodo Hospital
Saito, Tuneo Department of Surgery, Oe Kyodo Hospital
Nakata, Akiyasu Department of Surgery, Oe Kyodo Hospital
Keywords
peudoaneurysm
TAE
Content Type
Journal Article
Description
A 63-year-old man who was diagnosed acute cholecystitis underwent PTGBD and subsequently open cholecystectomy. 13days after operation, the obvious bleeding was suddenly happened. Enhanced abdominal CT and selective ceriac angiography revealed a pseudoaneurysm at the right hepatic artery. Transcatheter embolization (TAE) of the aneurysm was performed. The bleeding ceased, but 1day after TAE the recurrent bleeding was happened. Operative ligation of the right hepatic artery successfully controlled the bleeding and the patint was discharged 112days after cholecystectomy without problems. In dissecting the gall bladder away from the liver bed, the use of electrocauterisation may injure the right hepatic artery and result in a pseudoaneurysm. Surgical procedure shoud be more careful. If the bleeeding was happened, the treatment shoud be firstly TAE and secondly surgical operation.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
57
Issue
6
Start Page
239
End Page
242
Sort Key
239
Published Date
2001-12-25
FullText File
language
jpn
TextVersion
Publisher