Korean J Pancreas Biliary Tract.
2015 Jul;20(3):168-174. 10.15279/kpba.2015.20.3.168.
Ruptured Cystic Artery Pseudoaneurysm as a Rare Cause of Massive Hemobilia
- Affiliations
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- 1Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
- 2Department of Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
- 3Department of Pathology, Inje University Ilsan Paik Hospital, Goyang, Korea.
- 4Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. drsong@amc.seoul.kr
- 5Department of Radiology, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, Korea.
- KMID: 2448494
- DOI: http://doi.org/10.15279/kpba.2015.20.3.168
Abstract
- Gastrointestinal bleeding from the biliary tree, called hemobilia, is an uncommon event. It may clinically present as hematemesis or melena. Ruptured cystic artery pseudoaneurysm is a rare cause of hemobilia, with 2 cases reported in Korea. We present this unusual condition in a 65-year-old man whose chief complaint was abdominal pain. His final diagnosis was ruptured cystic artery pseudoaneurysm, and he was successfully treated by transcatheter arterial embolization and laparoscopic cholecystectomy.
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