Significant hemobilia due to arterio-biliary fistula is a very rare complication of chemoradiation therapy (CRT) for unresectable intrahepatic cholangiocarcinoma (ICC). Here we report a case of arterio-biliary fistula after CRT for unresectable ICC demonstrated by angiographic examinations. This fistula was successfully treated by endovascular embolization. Hemobilia is a rare complication, but arterio-biliary fistula should be considered after CRT of ICC.
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http://dx.doi.org/10.4329/wjr.v2.i9.374 | DOI Listing |
Khirurgiia (Mosk)
October 2023
Research Institute - Ochapovsky Regional Clinical Hospital No. 1, Krasnodar, Russia.
Hepatic artery aneurysms (HAA) are rare (20% of all visceral arteries). Most often, HAAs are asymptomatic and detected at autopsy. However, their ruptures and/or bleeding following pressure ulcers in visceral gastrointestinal organs are a significant clinical and diagnostic problem.
View Article and Find Full Text PDFBiomedicines
June 2023
Division of Interventional Radiology, Department of Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA.
Background: Although non-target puncture (NPT)-related complications are well known to clinicians performing TIPS, there is no NTP-focused study to assess the true clinical sequalae of NTP-related complications. In this study, the aim was to evaluate the incidence, safety, clinical outcomes and complications related to NTPs during the portal access of TIPS procedures.
Methods: A retrospective review of 369 TIPS procedures from October 2007 to September 2019 was performed.
Cardiovasc Intervent Radiol
June 2023
Department of Radiology, Section of Interventional Radiology, The University of Chicago Medical Center, 5841 S. Maryland Ave, Chicago, IL, 60637, USA.
Purpose: To investigate risk factors associated with post-microwave ablation (MWA) abscess development.
Materials And Methods: A retrospective case-control analysis was conducted to identify hepatic MWA performed at a single tertiary medical center between January 2010 and January 2022. Case and control patients were defined as those who did or did not develop intrahepatic abscess within 3 months following MWA, respectively.
A 46-year-old male with alcoholic liver cirrhosis underwent a transjugular intrahepatic portosystemic shunt (TIPS) for refractory ascites. On the 9th day after the procedure, he presented with melena and decreasing hemoglobin levels. Hemobilia due to fistula formation between the right intrahepatic bile duct and right hepatic artery was suspected on computed tomography.
View Article and Find Full Text PDFCureus
August 2022
Radiology, University Hospital Fundación Santa Fé de Bogotá, Bogotá, COL.
Hemobilia is a term used to describe bleeding caused by abnormal communication between blood vessels and bile ducts. Some vascular anomalies, such as aneurysms or arterio-biliary fistulas, facilitate the appearance of this type of biliary bleeding. Other causes have been described such as iatrogenic causes secondary to percutaneous procedures, infections, tumors, and trauma.
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