Professional paper
Jaundice, occult blood and acute cholecystitis: hemobilia as the initial presentation of acute cholecystitis complicated by a pseudoaneurysm
Shih-Hung Tsai
; Department of Emergency Medicine, Tri-Service General Hospital, 325 Cheng-Kung Road, Sec. 2, Taipei, 114, Taiwan
De-Chuan Chan
; Department of Surgery, Tri-Service General Hospital, 325 Cheng-Kung Road, Sec. 2, Taipei, 114, Taiwan
Chang Hsien Liu
; Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, 325 Cheng-Kung Road, Sec. 2, Taipei, 114, Taiwan
Hsien-He Hsu
; Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, 325 Cheng-Kung Road, Sec. 2, Taipei, 114, Taiwan
Wei-Chou Chang
; Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, 325 Cheng-Kung Road, Sec. 2, Taipei, 114, Taiwan
Abstract
Identifying the presence of hemobilia can be clinically important since it might change the therapeutic approach to patient management. Here, we report a 56-year-old man with clinical symptoms of acute cholecystitis. Multidetector-row computed tomography of the abdomen showed a ruptured pseudoaneurysm arising from the right hepatic artery. Angiography, with transarterial coil embolization of the pseudoaneurysm, was performed before surgery to reduce the risk of hemostatic complications.
Keywords
pseudoaneurysm; hepatic artery; hemobilia; multidetector-row computed tomography; transarterial embolization
Hrčak ID:
67471
URI
Publication date:
1.4.2011.
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