The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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An Intraluminal Gallbladder and Bile Duct Hematoma after a Percutaneous Biopsy of Hepatic Adenoma

경피 간 생검 후 담도 및 담낭내 혈종이 발생한 간선종 1예

  • Song, Hyun-Jung (Department of Internal Medicine, Konyang University College of Medicine) ;
  • Choi, Young-Woo (Department of Internal Medicine, Konyang University College of Medicine) ;
  • Park, Joo-Ho (Department of Internal Medicine, Konyang University College of Medicine) ;
  • Lee, Tae-Hee (Department of Internal Medicine, Konyang University College of Medicine) ;
  • Kim, Yong-Seok (Department of Internal Medicine, Konyang University College of Medicine) ;
  • Kang, Young-Woo (Department of Internal Medicine, Konyang University College of Medicine) ;
  • Choi, In-Seok (Department of General Surgery, Konyang University College of Medicine)
  • 송현정 (건양대학교 의과대학 내과학교실) ;
  • 최용우 (건양대학교 의과대학 내과학교실) ;
  • 박주호 (건양대학교 의과대학 내과학교실) ;
  • 이태희 (건양대학교 의과대학 내과학교실) ;
  • 김용석 (건양대학교 의과대학 내과학교실) ;
  • 강영우 (건양대학교 의과대학 내과학교실) ;
  • 최인석 (건양대학교 의과대학 외과학교실)
  • Published : 2011.03.01
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Abstract

Hepatocellular adenoma is a rare, but benign, tumor mostly found in women taking oral contraceptives. Hepatocellular adenoma must be treated when bleeding of the tumor, intraperitoneal hemorrhage, or malignant transformation occurs. A percutaneous liver biopsy is relatively safe and effective, but carries the risk of mild complications, such as pain, temporary hypotension, and bleeding, and severe complications, such as intraperitoneal bleeding, peritonitis, pneumothorax, hemothorax, other organ injury, and sepsis. We treated a 33-year-old woman with hemobilia and gallbladder hematoma following a sono-guided percutaneous liver biopsy. Complete quadrantectomy with anterior lobe resection was done after angiography and embolization of the hepatic artery.

간선종은 피임약을 복용하는 여성에게 호발하는 것으로 알려져 있으나, 본 예에서는 피임약을 복용하지 않은 젊은 가임기 여성에서 큰 간종괴로 조직검사 후 혈액담즙증 및 담낭내 혈종이 발생하여 간동맥 색전술을 시행하고, 조직검사상 진단된 간선종을 수술한 1예를 보고하는 바이다.

Keywords

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