Migration of Glue Cast into Biliary System Following Embolisation of a Mycotic Pseudoaneurysm of the Hepatic Artery
TW Yeung, OC Leung, CB Tan
Hong Kong J Radiol 2017;20:149-52
DOI: 10.12809/hkjr1715369
Pseudoaneurysm of the hepatic artery is at high risk of rupture, and thus requires early aggressive management. Patients usually present with haemobilia, upper gastrointestinal bleeding, and jaundice. Pseudoaneurysms are commonly caused by trauma, iatrogenesis, or vasculitis. Transcatheter embolisation is the mainstay treatment for intrahepatic pseudoaneurysm. We report a rare complication of migration of glue cast into the bile duct following embolisation of a hepatic pseudoaneurysm with glue.
Authors’ affiliation:
TW Yeung, OC Leung, CB Tan: Department of Radiology, Tuen Mun Hospital, Tuen Mun, Hong Kong
中文摘要
肝臟真菌性假動脈瘤栓塞術後膠水移入膽道系統
楊子慧、梁安祥、陳崇文
肝臟假動脈瘤破裂的風險很高，因此要及早進行積極治療。患者通常出現血友病，上消化道出血和黃疸。假動脈瘤通常由創傷、醫源性或血管炎引起。經導管栓塞術是治療肝內假動脈瘤的主要手段。本文報告一例罕見肝假動脈瘤栓塞術後膠水移入膽道系統的併發症。