%0 Journal Article %T Late-onset Rupture of the Intrahepatic Pseudoaneurysm Developed by Endoscopic Ultrasonography-guided Hepaticogastrostomy: A Case Report and Literature Review. %A Ban T %A Kubota Y %A Takahama T %A Sasoh S %A Tanida S %A Nakamura M %A Ando T %A Joh T %J Intern Med %V 0 %N 0 %D 2024 May 30 %M 38811220 %F 1.282 %R 10.2169/internalmedicine.3717-24 %X Endoscopic ultrasonography-guided hepaticogastrostomy (EUS-HGS) has emerged as an alternative drainage technique for patients with malignant biliary obstruction. However, few reports have discussed the occurrence of late-onset rupture of hepatic artery pseudoaneurysms following EUS-HGS. A recently available drill dilator equipped with a long screw segment was used in the dilation step of EUS-HGS. We highlight the potential concern that this long screw segment may increase the risk of damage to the hepatic artery, leading to late-onset life-threatening rupture of a pseudoaneurysm.