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KMID : 0370920120290010024
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Yeungnam Univercity Journal of Medicine
2012 Volume.29 No. 1 p.24 ~ p.27
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A Case of Ruptured Mycotic Hepatic Artery Aneurysm Successfully Treated Using Arterial Embolization
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Kim Gi-Ae
Lee Han-Chu
Jin Young-Joo
Yang Jee-Eun
Lee MIn-Jung
Park Ji-Hyun
Lee Bo-Young
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Abstract
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Mycotic hepatic artery aneurysms(HAAs) have become very rare due to antibiotics. Untreated, they have a high possibility of rupture and mortality. In this paper, on the case of a 67-year-old male who had severe right-upper- quadrant abdominal pain and a history of infective endocarditis is reported. The computed tomography(CT) and arterial angiography findings led to a diagnosis of a ruptured mycotic HAA. The CT showed an HAA and the formation of an intrahepatic hematoma caused by aneurysmal rupture. The arterial angiography showed a mycotic HAA that arose from the right posterior hepatic artery. Percutaneous transcatheter arterial embolization was used to success- fully treat the HAA. Since then, the patient has been doing well, without symptoms.
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KEYWORD
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Aneurysm, Embolization, Hepatic artery
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