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- Title
미세코일 색전술로 치료된 대량 복수 천자 후 발생한 가성동맥류에 의한 심한 복강내 출혈
- Authors
류수형; 권동일
- Abstract
Large-volume paracentesis-induced intraperitoneal hemorrhage due to pseudoaneurysm formation is rarely reported. Here, we present a 56-year-old man with alcoholic liver cirrhosis admitted for massive ascites. Large-volume paracentesis was performed. Three days later, he became pale and complained of dyspnea and abdominal distention with hypotension. Percutaneous iliac angiography revealed contrast media leakage from a branch of the left circumflex iliac artery with pseudoaneurysm. He was successfully treated with microcoil embolization. Several days later, ascitic fluid increased and large-volume paracentesis was performed again. Two days later, his hemoglobin level suddenly decreased. An abdominal computed tomography scan showed new active bleeding at the left lower lateral peritoneal cavity, just anterior to the metalic coils. Percutaneous iliac angiography revealed contrast media extravasation from a branch of the left inferior epigastric artery with formation of collateral vessel. Percutaneous embolization was successfully performed again. After coil embolization, there were no further bleeding episodes.
- Subjects
FALSE aneurysms; PARACENTESIS; HEMORRHAGE; CIRRHOSIS of the liver; ANGIOGRAPHY; THERAPEUTIC embolization
- Publication
Natural Gas Industry, 2018, Vol 38, Issue 3, p162
- ISSN
1000-0976
- Publication type
Article
- DOI
10.4166/kjg.2018.71.3.162