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Hepatic Artery Laceration confirmed at angiography

Johnson TJ - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Hepatic Artery Laceration confirmed at angiography

History: 65 y/o male with duodenal adenocarcinoma s/p resection, requiring biliary drainage catheter due to biliary obstruction. Catheter placed, with brisk return of bright blood.

Findings: Biliary drainage catheter present which traverses a posterior branch of the right hepatic artery. Directed catheter/microcatheter arteriogram demostrates contrast flow from the artery into the drainage catheter. Coil embolization of the lacerated artery, with multiple platinum coils ranging in size from 3x3 to 5x6.

Ddx: Hepatic arterial laceration Portal venous laceration Hepatic venous laceration

Exam: Yellow sclera Tbili: 6.1 AST: 162 ALT: 213 ALk PHOS: 352

No MeSH data available.


<li>Contrast is flowing from hepatic artery into drainage catheter.
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MPX2419_synpic17843: <li>Contrast is flowing from hepatic artery into drainage catheter.


Hepatic Artery Laceration confirmed at angiography

Johnson TJ - MedPix

<li>Contrast is flowing from hepatic artery into drainage catheter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2419&req=5

MPX2419_synpic17843: <li>Contrast is flowing from hepatic artery into drainage catheter.

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Hepatic Artery Laceration confirmed at angiography

History: 65 y/o male with duodenal adenocarcinoma s/p resection, requiring biliary drainage catheter due to biliary obstruction. Catheter placed, with brisk return of bright blood.

Findings: Biliary drainage catheter present which traverses a posterior branch of the right hepatic artery. Directed catheter/microcatheter arteriogram demostrates contrast flow from the artery into the drainage catheter. Coil embolization of the lacerated artery, with multiple platinum coils ranging in size from 3x3 to 5x6.

Ddx: Hepatic arterial laceration Portal venous laceration Hepatic venous laceration

Exam: Yellow sclera Tbili: 6.1 AST: 162 ALT: 213 ALk PHOS: 352

No MeSH data available.