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- W2329859285 abstract "A 66-year-old female with severe heart disease had been irradiated for an intrahepatic bile duct carcinoma, which was found during the bypass operation for recurring CBD stone. Six months later, she was seen at the cardiosurgery department because of palpitation and general fatigue. Laboratory data suggested severe anemia (Hb 5.1 g/dl) and she was immediately admitted to the hospital for further investigations. No specific finding was observed by any examinations. Blood transfusion 6 units/day for 3 days improved Hb level up to 10.1g/dl, and the patient was discharged temporarily. After the discharge, Hb level had kept decreasing gradually and the patient was re-admitted to the department for detailed examinations. The gastrointestinal endoscopic examination revealed massive bleeding from the liver side of the anastomosis of choledochoduenostomy, but exact bleeding point was not determined. Celiac arteriography also failed to identify the bleeding point. However, to avoid the risk of shifting to DIC, transcatherter embolization (TAE) was performed on the proper hepatic artery, which was thought to be responsible for the hemobilia. Thereafter slight epigastralgia and minimal liver disfunction occurred transiently, but severe anemia was getting better and no active bleeding was revealed by further gastrointestinal endoscopy, with an excellent outcome. We herein report this rare case of which hemobilia due to an intrahepatic bile duct carcinoma was successfully treated with TAE, along with some consideration of previously revised articles." @default.
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- W2329859285 date "1994-01-01" @default.
- W2329859285 modified "2023-10-04" @default.
- W2329859285 title "SUCCESSFUL CONTROL OF HEMOBILIA DUE TO AN INTRAHEPATIC BILE DUCT CARCINOMA BY TRANSCATHERETER EMBOLIZATION OF THE PROPER HEPATIC ARTERY-REPORT OF A CASE-" @default.
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- W2329859285 doi "https://doi.org/10.3919/ringe1963.55.978" @default.
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