Korean J Gastrointest Endosc > Volume 33(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(3): 173-177.
간동맥의 가성동맥류에 의한 비외상성 혈액담즙증 1예
가천의과대학교 내과학교실
A Case of Non-traumatic Hemobilia due to Pseudoaneurysm of the Hepatic Artery
Gwon Hyun Cho, M.D., Jong Jun Lee, M.D., Sang Kyun Yu, M.D., Kwang An Kwon, M.D., Dong Kyun Park, M.D., Yeon Suk Kim, M.D., Yang Suh Ku, M.D., Yu Kyung Kim, M.D. and Ju Hyun Kim, M.D.
Department of Intermal Medicine, Gachon Medical School, Incheon, Korea
Hemobilia is a cause of obscure gastrointestinal hemorrhage. Most cases have an iatrogenic or traumatic origin but cases of hemobilia with non-traumatic causes are rare. The non-traumatic causes of hemobilia are inflammation, gallstones, neoplasm and vascular lesions. Currently, various therapeutic options are available for hemobilia, and transarterial embolization is now the first line of intervention used to stop the bleeding of hemobilia, which shows a high success rate of approximately 80% to 100% with a lower morbidity and mortality rate than with surgery. We report a rare case of non-traumatic hemobilia caused by a pseudoaneurysm of the hepatic artery that was successfully treated with transarterial embolization. (Korean J Gastrointest Endosc 2006;33: 173⁣177)
Key Words: Hemobilia, Pseudoaneurysm, Embolization
주요어: 혈액담즙증, 가성동맥류, 색전술
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