Journal of Nippon Medical School: Vol.71 No.3 page.213

Journal of Nippon Medical School

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ArticleTitle Hepatic Pseudoaneurysm Ruptured into the Jejunal Limb after Hepatectomy for the Treatment of Gall Bladder Carcinoma

AuthorList Tomohiro Kanda¹, Takashi Tajiri¹, Hiroshi Yoshida¹, Yasuhiro Mamada¹, Nobuhiko Taniai¹, Youichi Kawano¹, Yoshiaki Mizuguchi¹, Tetsuya Shimizu¹, Tsubasa Takahashi¹, Shigeki Yokomuro¹, Yasuo Arima¹, Koho Akimaru¹ and Tatsuo Kumazaki²

Affiliation ¹Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine
²Department of Radiology, Nippon Medical School

Language JA

Volume 71

Issue 3

Year 2004

Page 213-216

Received January 8, 2004

Accepted February 2, 2004

Keywords gall bladder carcinoma, hepatic pseudoaneurysm, embolization

Abstract
A 74-year-old woman with advanced carcinoma of the gall bladder underwent anterior and medial segmentectomies, extrahepatic bile duct resection, lymph node dissection, and hepaticojejunostomy with retrograde transhepatic biliary drainage. On the sixteenth postoperative day, bleeding was noted through the biliary drain, but it stopped spontaneously. Two days later, the biliary drain showed bleeding again. Ultrasonography revealed mild dilatation of the intrahepatic bile duct. Cholangiography via the drain disclosed a defect in the jejunal limb. Emergency angiography revealed an aneurysm, 2 cm in diameter, in the posterior branch of the right hepatic artery. Contrast medium demonstrated extravasation into the jejunal limb. The pseudoaneurysm was embolized with coils. No further hemorrhage was noted, and the patient was discharged 30 days after operation.

Correspondence to Tomohiro Kanda, MD, Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

ArticleTitle	Hepatic Pseudoaneurysm Ruptured into the Jejunal Limb after Hepatectomy for the Treatment of Gall Bladder Carcinoma
AuthorList	Tomohiro Kanda¹, Takashi Tajiri¹, Hiroshi Yoshida¹, Yasuhiro Mamada¹, Nobuhiko Taniai¹, Youichi Kawano¹, Yoshiaki Mizuguchi¹, Tetsuya Shimizu¹, Tsubasa Takahashi¹, Shigeki Yokomuro¹, Yasuo Arima¹, Koho Akimaru¹ and Tatsuo Kumazaki²
Affiliation	¹Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine ²Department of Radiology, Nippon Medical School
Language	JA
Volume	71
Issue	3
Year	2004
Page	213-216
Received	January 8, 2004
Accepted	February 2, 2004
Keywords	gall bladder carcinoma, hepatic pseudoaneurysm, embolization
Abstract	A 74-year-old woman with advanced carcinoma of the gall bladder underwent anterior and medial segmentectomies, extrahepatic bile duct resection, lymph node dissection, and hepaticojejunostomy with retrograde transhepatic biliary drainage. On the sixteenth postoperative day, bleeding was noted through the biliary drain, but it stopped spontaneously. Two days later, the biliary drain showed bleeding again. Ultrasonography revealed mild dilatation of the intrahepatic bile duct. Cholangiography via the drain disclosed a defect in the jejunal limb. Emergency angiography revealed an aneurysm, 2 cm in diameter, in the posterior branch of the right hepatic artery. Contrast medium demonstrated extravasation into the jejunal limb. The pseudoaneurysm was embolized with coils. No further hemorrhage was noted, and the patient was discharged 30 days after operation.
Correspondence to	Tomohiro Kanda, MD, Surgery for Organ Function and Biological Regulation, Nippon Medical School, Graduate School of Medicine, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan