Long-term follow-up of hepatic artery pseudoaneurysm as complication of laparoscopic cholecystectomy

2010 ◽  
Vol 82 (4) ◽  
pp. 243-247
Author(s):  
A. Giakoustidis ◽  
D. McCarter ◽  
R. Carter ◽  
C. W. Imrie
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm ◽  
Long Term Follow Up

scholarly journals Arterio-biliary fistula caused by a hepatic artery pseudoaneurysm in a recently performed liver transplant: successful resolution and long-term liver implant preservation using a covered coronary stent

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Alfredo Páez-Carpio ◽  
Elena Serrano ◽  
Federico Zarco ◽  
Constantino Fondevila ◽  
Marta Burrel
Keyword(s):  
Bile Duct ◽  
Liver Transplant ◽  
Hepatic Artery ◽  
Biliary Fistula ◽  
Coronary Stent ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm ◽  
Successful Resolution ◽  
Standardized Treatment

Abstract Background The formation of a hepatic artery pseudoaneurysm in a liver implant is a rare but potentially fatal complication. Fistulization of such pseudoaneurysms into the bile duct is sporadic. The most common causes of hepatic artery pseudoaneurysm are infection at the anastomosis site, inadequate surgical technique, and an iatrogenic origin due to minimally invasive procedures. Currently, there is no standardized treatment in neither of these complications, with surgery and various endovascular procedures among the alternatives available. None of these therapeutic approaches has demonstrated a significant increase in long-term liver implant preservation. Case presentation A 56-year-old man with a two-month liver transplant presented with massive upper gastrointestinal bleeding and hemobilia shortly after the performance of an endoscopic retrograde cholangiopancreatography due to the presence of a hepatic artery pseudoaneurysm with fistulization into the bile duct. This case report describes the successful treatment of both complications, the hepatic artery pseudoaneurysm and the arterio-biliary fistula, using a covered coronary stent placed in the hepatic artery. A year and a half after treatment, the patient maintains a preserved liver implant and a patent hepatic artery. Conclusions Treatment of a hepatic artery pseudoaneurysm with fistulization into bile duct using a covered coronary stent allowed the correct repair of the defect, adequate hemorrhage control, and long-term liver implant preservation.

Incidence and risk factors for trocar site hernia following laparoscopic cholecystectomy: A long-term follow-up study

Hernia ◽  
2012 ◽  
Vol 16 (4) ◽  
pp. 431-437 ◽  
Author(s):  
E. Erdas ◽  
C. Dazzi ◽  
F. Secchi ◽  
S. Aresu ◽  
A. Pitzalis ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Trocar Site ◽  
Follow Up Study ◽  
Trocar Site Hernia ◽  
Long Term Follow Up

scholarly journals Management of a pseudo-aneurysm in the hepatic artery after a laparoscopic cholecystectomy

2016 ◽  
Vol 98 (7) ◽  
pp. 456-460 ◽  
Author(s):  
MP Senthilkumar ◽  
N Battula ◽  
MTPR Perera ◽  
R Marudanayagam ◽  
J Isaac ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Computed Tomography Angiography ◽  
Rare Complication ◽  
Artery Pseudoaneurysm ◽  
Pseudo Aneurysm ◽  
High Index Of Suspicion ◽  
Time Of Presentation

Introduction Symptomatic hepatic-artery pseudoaneurysm (HAP) after bile-duct injury (BDI) is a rare complication with a varied (but clinically urgent) presentation. Methods A prospectively maintained database of all patients with BDI at laparoscopic cholecystectomy (LC) referred to a tertiary specialist hepatobiliary centre between 1992 and 2011 was searched systematically to identify patients with a symptomatic HAP. Care and outcome of these patients was studied. Results Eight (6 men) of 236 patients with BDI (3.4%) with a median age of 65 (range: 54?6) years presented with symptomatic HAP. Median time of presentation of the HAP from the index LC was 31 (range: 13?16) days. Bleeding was the dominant presentation in 7 patients. One patient presented late (>2 years) with abdominal pain alone. Computed tomography angiography was the most useful investigation. Angioembolisation was successful in 7 patients. One patient died, and another patient developed liver infarction. Three patients (38%) developed biliary strictures after embolisation. Seven patients are alive and well at a median follow-up of 66 months. Conclusions Presentation of HAP is often delayed. A high index of suspicion is necessary for the diagnosis. Computed tomography angiography is the first-line investigation and selective angioembolisation can yield successful outcomes.

Right Hepatic Artery Pseudoaneurysm Following Laparoscopic Cholecystectomy

2022 ◽  
Author(s):  
Laxminarayan Mohanty ◽  
Manas Ranjan Kar ◽  
Abhishek Mishra ◽  
Mohammad Ibrarullah
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Right Hepatic Artery ◽  
Hepatic Artery Pseudoaneurysm

Hemobilia Due to Hepatic Artery Pseudoaneurysm Thirteen Months After Laparoscopic Cholecystectomy

1998 ◽  
Vol 26 (1) ◽  
pp. 50-53 ◽  
Author(s):  
Alfonso Ribeiro ◽  
Hugh Williams ◽  
Gerald May ◽  
Jack T. Fulmer ◽  
James R. Spivey
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm complicating laparoscopic cholecystectomy: Management with transcatheter embolisation

1998 ◽  
Vol 7 (5) ◽  
pp. 471-473
Author(s):  
E. N. Brountzos ◽  
E. Alexopoulou ◽  
K. Malagari ◽  
L. Thanos ◽  
G. Papaioannou ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm ◽  
Transcatheter Embolisation
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