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A Case of Massive Hemobilia after a Long Period of Time Since Open Cholecystectomy
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Á¤Áö¼±(Jeong Jee-Sun) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀåÁöÇý(Jang Ji-Hye) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Á¤Àº(Chung Eun) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¾çÇö(Yang Hyun) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èÇö¼±(Kim Hyun-Seon) - °¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
À½¿µ¿í(Eum Young-Ook) - ûÁÖ¼º¸ðº´¿ø ³»°ú
¹èÀÏÇå(Bae Il-Hun) - ûÁÖ¼º¸ðº´¿ø ¿µ»óÀÇÇаú
¹Ú¼±¹Ì(Park Seon-Mee) - ÃæºÏ´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Abstract
A 77-year-old woman was admitted with 5 days history of melena. She had an open cholecystectomy 30 years ago. Abdominal computed tomography and duodenoscopy revealed massive hemobilia. Angiography showed right hepatic arterial fistula to common bile duct near the surgical clip. Embolization was done successfully and the patient recovered. We experienced a case of a massive hemobilia which was occurred after a long period of time since open cholecystectomy without pseudoaneurysmal change of the right hepatic artery. And we suggest the direct vessel injury and fistula between the bile duct and a blood vessel as a possible cause of hemobilia in this case.
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Ç÷¾× ´ãÁóÁõ, ´ã³¶ÀýÁ¦¼ú, ´ãµµ ¼Õ»ó
Hemobilia, Cholecystectomy, Bile duct injury
KMID :
0985520140190010042
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