Active bleeding due to a hepatic arterial pseudoaneurysm that occurred after acute cholangitis

Conesa, Mario Fernández; Muñoz, Ana Milena; González, María Ángeles Valero

doi:10.17235/reed.2020.6483/2019

Rev Esp Enferm Dig

2020

DOI: 10.17235/reed.2020.6483/2019

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Active bleeding due to a hepatic arterial pseudoaneurysm that occurred after acute cholangitis

Mario Fernández Conesa¹,

Ana Milena Muñoz²,

María Ángeles Valero González³

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2024

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Multiple intrahepatic artery aneurysms during the treatment for IgG4-related sclerosing cholangitis: A case report

Tamura,

Ozono,

Uchida

et al. 2024

World J Hepatol

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BACKGROUND The purpose of this case report is to describe a case of multiple intrahepatic artery aneurysms during treatment for IgG4-related sclerosing cholangitis (IgG4-SC) and to provide information for daily practice. CASE SUMMARY A 64-year-old Japanese woman was diagnosed with IgG4-SC five years prior and was receiving maintenance treatment with prednisolone 7.5-10 mg/day. She developed abdominal pain and a sudden onset of black stool and was admitted to our hospital. Abdominal contrast-enhanced computed tomography (CT) and ultrasonography (US) revealed multiple intrahepatic artery aneurysms that developed during the treatment for IgG4-SC. Emergency transarterial embolization for multiple hepatic artery aneurysms was performed. Hepatic artery aneurysms disappeared on contrast-enhanced CT and US, the progression of anemia ceased, and the melena resolved. Thus, hemostasis was achieved. CONCLUSION Hepatic artery aneurysms should be considered poor prognostic complications of IgG4-SC.

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Multiple intrahepatic artery aneurysms during the treatment for IgG4-related sclerosing cholangitis: A case report

Tamura,

Ozono,

Uchida

et al. 2024

World J Hepatol

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Active bleeding due to a hepatic arterial pseudoaneurysm that occurred after acute cholangitis

Cited by 1 publication

References 5 publications

Multiple intrahepatic artery aneurysms during the treatment for IgG4-related sclerosing cholangitis: A case report

Multiple intrahepatic artery aneurysms during the treatment for IgG4-related sclerosing cholangitis: A case report

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