| Autor: |
Gan Yiing Yee, Mohamad, Ikhwan Sani, Lim Choon Hean, Soon Kong Choon, Abdullah, Nik Azim Nik |
| Předmět: |
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| Zdroj: |
Surgical Chronicles; Apr-Jun2022, Vol. 27 Issue 2, p243-245, 3p |
| Abstrakt: |
Pseudoaneuryms of visceral arteries are relatively rare. They carry high risk of rupture and may have misleading presentation leading to delay in diagnosis and treatment. We observed a case of a 53-year-old lady with the presentation of obscure-overt gastrointestinal bleeding associated with obstructive jaundice. This patient had underwent computed tomography scan after repeated endoscopy failed to reveal the cause of bleeding, which has showed an arterially enhancing lesion at liver segment V with its supply from accessory right hepatic artery origin from superior mesenteric artery. A subsequent digital substraction angiography demonstrated a large multilobulated pseudoaneurysm of this artery and successful embolization performed using gelfoam. A followup CT scan in 1 month later showed thrombosed pseudoaneurysm. We have learned that high suspicion of biliary disorder should be made when gastrointestinal bleeding is associated with jaundice. An early imaging should be considered when repeated endoscopy is unable to determine the cause of bleeding. Non operative management using transcatheter embolisation can be the treatment of choice in pseudoaneurysms to avoid potentially risky and difficult surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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