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

Journal of Nippon Medical School

Select Language
in Japanese < > in English

Full Text of this Article

in Japanese PDF (80K)

ArticleTitle 挙上空腸脚に穿破した胆嚢癌術後仮性肝動脈瘤の1例

AuthorList 神田知洋¹, 田尻孝¹, 吉田寛¹, 真々田裕宏¹, 谷合信彦¹, 川野陽一¹, 水口義昭¹, 清水哲也¹, 高橋翼¹, 横室茂樹¹, 有馬保生¹, 秋丸琥甫¹, 隈崎達夫²

Affiliation ¹日本医科大学大学院医学研究科臓器病態制御外科学
²日本医科大学放射線医学教室

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	挙上空腸脚に穿破した胆嚢癌術後仮性肝動脈瘤の1例
AuthorList	神田知洋¹, 田尻孝¹, 吉田寛¹, 真々田裕宏¹, 谷合信彦¹, 川野陽一¹, 水口義昭¹, 清水哲也¹, 高橋翼¹, 横室茂樹¹, 有馬保生¹, 秋丸琥甫¹, 隈崎達夫²
Affiliation	¹日本医科大学大学院医学研究科臓器病態制御外科学 ²日本医科大学放射線医学教室
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