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KMID : 0359020060330030173
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Korean Journal of Gastrointestinal Endoscopy
2006 Volume.33 No. 3 p.173 ~ p.177
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A Case of Non-traumatic Hemobilia due to Pseudoaneurysm of the Hepatic Artery
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Cho Kwon-Hyun
Lee Jong-Joon
Yu Sang-Kyun
Kwon Kwang-An
Park Dong-Kyun
Kim Yeon-Suk
Koo Yang-Suh
Kim Yu-Kyung
Kim Ju-Hyun
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Abstract
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Hemobilia is a cause of obscure gastrointestinal hemorrhage. Most cases have an iatrogenic or traumatic origin but cases of hemobilia with non-traumatic causes are rare. The non-traumatic causes of hemobilia are inflammation, gallstones, neoplasm and vascular lesions. Currently, various therapeutic options are available for hemobilia, and transarterial embolization is now the first line of intervention used to stop the bleeding of hemobilia, which shows a high success rate of approximately 80% to 100% with a lower morbidity and mortality rate than with surgery. We report a rare case of non-traumatic hemobilia caused by a pseudoaneurysm of the hepatic artery that was successfully treated with transarterial embolization. (Korean J Gastrointest Endosc 2006;33: 173?177)
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KEYWORD
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Hemobilia, Pseudoaneurysm, Embolization
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