Late-onset hemobilia due to pseudoaneurysm rupture after endoscopic ultrasound-guided hepaticogastrostomy

Yamada, Manabu; Okamoto, Takeshi; Sato, Yozo; Takeda, Tsuyoshi; Mie, Takafumi; Ishitsuka, Takahiro; Nakagawa, Hiroki; Sasaki, Takashi; Sasahira, Naoki

doi:10.1007/s12328-023-01820-y

Cited by 3 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 Endoscopic ultrasound-guided hepaticogastrostomy is increasingly performed as an alternative to ERCP for biliary drainage,and pseudoaneurysm rupture after endoscopic unltrasound-guided hepaticogastrostomy has also been reported. 6 The typical symptoms of hemobilia are known as Quincke's triad, which consists of jaundice, upper quadrant abdominal pain, and upper gastrointestinal bleeding. However, all three symptoms are observed in only 22% of the cases.…”

Section: Discussionmentioning

confidence: 99%

“…As patients with pseudoaneurysm after SEMS placement have a history of chemotherapy or chemoradiotherapy, such antineoplastic treatments may play a role in pseudoaneurysm formation 3 . Endoscopic ultrasound‐guided hepaticogastrostomy is increasingly performed as an alternative to ERCP for biliary drainage, and pseudoaneurysm rupture after endoscopic unltrasound‐guided hepaticogastrostomy has also been reported 6 …”

Section: Discussionmentioning

confidence: 99%

“… 3 Endoscopic ultrasound‐guided hepaticogastrostomy is increasingly performed as an alternative to ERCP for biliary drainage, and pseudoaneurysm rupture after endoscopic unltrasound‐guided hepaticogastrostomy has also been reported. 6 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ruptured cystic artery pseudoaneurysm after self‐expandable metal stent placement for malignant biliary obstruction

Mie,

Sasaki,

Matsueda

et al. 2023

DEN Open

Self Cite

View full text Add to dashboard Cite

We report a case of ruptured cystic artery pseudoaneurysm after self‐expandable metal stent placement for malignant biliary obstruction. A 78‐year‐old woman on palliative care after chemotherapy for unresectable pancreatic head cancer presented with obstructive jaundice. Imaging revealed a dilated common bile duct and an enlarged gallbladder with cystic wall thickening. Endoscopic retrograde cholangiopancreatography was performed and a fully‐covered self‐expandable metal stent was placed in the bile duct, leading to resolution of jaundice. She presented with hematochezia 7 days later. Contrast‐enhanced computed tomography revealed a cystic artery pseudoaneurysm with extravasation of contrast into a blood‐filled gallbladder. Hemostasis was achieved after emergent transcatheter arterial embolization. Rupture of cystic artery pseudoaneurysm should be raised as a differential diagnosis for hemobilia after self‐expandable metal stent placement, particularly in cases accompanied by inflamed gallbladders.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ruptured cystic artery pseudoaneurysm after self‐expandable metal stent placement for malignant biliary obstruction

Mie,

Sasaki,

Matsueda

et al. 2023

DEN Open

Self Cite

View full text Add to dashboard Cite

show abstract

Eus-Hgs後に仮性動脈瘤による胆道出血を来した1例

Hoshi,

Okano,

Sato

et al. 2024

Prog. dig. Endosc

View full text Add to dashboard Cite

Late-onset Rupture of the Intrahepatic Pseudoaneurysm Developed by Endoscopic Ultrasonography-guided Hepaticogastrostomy: A Case Report and Literature Review

Ban,

Kubota,

Takahama

et al. 2024

Intern. Med.

View full text Add to dashboard Cite

Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) has emerged as an alternative drainage technique for patients with malignant biliary obstruction. However, few reports have discussed the occurrence of late-onset rupture of hepatic artery pseudoaneurysms following EUS-HGS. A recently available drill dilator equipped with a long screw segment was used in the dilation step of EUS-HGS. We highlight the potential concern that this long screw segment may increase the risk of damage to the hepatic artery, leading to late-onset life-threatening rupture of a pseudoaneurysm.

show abstract

Late-onset hemobilia due to pseudoaneurysm rupture after endoscopic ultrasound-guided hepaticogastrostomy

Cited by 3 publications

References 19 publications

Ruptured cystic artery pseudoaneurysm after self‐expandable metal stent placement for malignant biliary obstruction

Ruptured cystic artery pseudoaneurysm after self‐expandable metal stent placement for malignant biliary obstruction

Eus-Hgs後に仮性動脈瘤による胆道出血を来した1例

Late-onset Rupture of the Intrahepatic Pseudoaneurysm Developed by Endoscopic Ultrasonography-guided Hepaticogastrostomy: A Case Report and Literature Review

Contact Info

Product

Resources

About