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- MORISHITA Naoki
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- NISHIDA Tsutomu
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- HAYASHI Yoshito
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- IWAHASHI Kiyoshi
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- IKEZAWA Kenji
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- SHIGEKAWA Minoru
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- SHINZAKI Shinichiro
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- YAMADA Takuya
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- KAKITA Naruyasu
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- EZAKI Hisao
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- MIYAZAKI Masanori
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- YAKUSHIJIN Takayuki
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- TATSUMI Tomohide
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- IIJIMA Hideki
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- KISO Shinichi
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- HIRAMATSU Naoki
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- TSUJII Masahiko
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
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- OSUGA Keigo
- Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine
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- TERASHIMA Kazuki
- Department of Radiology, Hyogo Ion Beam Medical Center
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- TAKEHARA Tetsuo
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 進行膵癌に対する陽子線治療後に仮性動脈瘤から胆管メタリックステント内に出血をきたした1例
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Abstract
A 48-year-old man with locally advanced pancreatic cancer underwent combined treatment with gemcitabine and proton radiation therapy. Because of subsequent obstruction of the common bile duct, a metallic biliary stent was placed and he received further gemcitabine chemotherapy. During chemotherapy, he developed an acute abdomen with a sudden-onset of tarry stool and jaundice. Gastroduodenoscopy revealed hemobilia from the biliary metallic stent. Contrast-enhanced abdominal computed tomography revealed the presence of a pseudoaneurysm arising from the right hepatic artery adjacent to the top of the stent. Hemostasis of the right hepatic artery pseudoaneurysm was achieved via transcatheter arterial embolization using cyanoacrylate.<br>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 110 (12), 2127-2135, 2013
The Japanese Society of Gastroenterology
