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Case Reports
. 2023 Aug 29:11:2050313X231194143.
doi: 10.1177/2050313X231194143. eCollection 2023.

A multidisciplinary approach: Case report of an abdominal aortic aneurysm with type IIIA endoleak in the setting of cholangitis

Emmanuel Ihionkhan  1 , Vincent Marcucci  2 , Rachel Masai  2 , Kenneth Belitsis  2 , Mohammad Nasir Khan  1   2
Affiliations
Case Reports

A multidisciplinary approach: Case report of an abdominal aortic aneurysm with type IIIA endoleak in the setting of cholangitis

Emmanuel Ihionkhan et al. SAGE Open Med Case Rep. .

Abstract

Endoleaks are a common complication of endovascular aortic aneurysm repair and often lead to aneurysm rupture. We report a complex case of a Type IIIA endoleak in a patient with suspected cholangitis. Immediate surgical measures to manage both the cholangitis and endoleak were performed while minimizing the risk of graft infection.

Keywords: Abdominal aortic aneurysm; cholangitis; endoleaks; rupture; stent-graft.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
CT scan (a) showing significant biliary ductal dilation. (b) Demonstrating abdominal aortic aneurysm with separated left iliac stent consistent with a Type III endoleak.
Figure 2.
Figure 2.
ERCP, imaging of common bile duct; consistent with a distal stricture. ERCP: endoscopic retrograde cholangiopancreatography.
Figure 3.
Figure 3.
(a) Aortography demonstrating the Type III endoleak by showing contrast going into the aneurysm sac. (b) Completion aortogram showing preservation of renal arteries and no endoleaks.
See this image and copyright information in PMC

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