Open AccessLife-threatening hemorrhage after liver radiofrequency ablation successfully controlled by transarterial embolization
Author(s) -
Xingyu Wu,
Xiaolei Shi,
Jianxin Zhou,
Yudong Qiu,
Tong Zhou,
Bing Han,
YiTao Ding
Publication year - 2012
Publication title -
world journal of hepatology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.913
H-Index - 55
ISSN - 1948-5182
DOI - 10.4254/wjh.v4.i12.419
Subject(s) - medicine , pseudoaneurysm , laparotomy , hemostasis , embolization , radiology , angiography , surgery , ablation , exploratory laparotomy , radiofrequency ablation , hepatocellular carcinoma , artery , melena , hepatic artery embolization , aneurysm
A 59-year-old man underwent liver radiofrequency ablation under laparotomy for recurrent hepatic carcinoma located in the caudate lobe, however, near-fatal bleeding occurred 1 wk after the operation. The intra-operative ultrasound study during laparotomy revealed left hepatic artery pseudoaneurysm. Suture and packing with ribbon gauze was used to obtain hemostasis. A secondary hemorrhage followed 11 h later and hepatic angiography was performed immediately. Bleeding from the pseudoaneurysm in a branch of the left hepatic artery was found and the artery branch was embolized with coils. Other than slight bile leakage, post-embolization continued satisfactorily. Bleeding did not reoccur. The follow up visit 1 mo later found the pseudoaneurysm disappearing and no tumor recurrence.