Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis

2021 ◽  
Vol 14 (11) ◽  
pp. e247304
Author(s):  
Maninder Kaur ◽  
Harsimran Bhatia ◽  
Gaurav Muktesh ◽  
Pankaj Gupta
Keyword(s):  
Hepatic Artery ◽  
Liver Abscess ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Rare Complication ◽  
Gallstone Disease ◽  
Biliary System ◽  
Endoscopic Retrograde ◽  
Spontaneous Thrombosis ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP.

scholarly journals Hemobilia from a right hepatic artery pseudoaneurysm due to chronic cholecystitis

2019 ◽  
Vol 7 ◽  
pp. 2050313X1987207
Author(s):  
Manjusha Das ◽  
Fritz-Henry Volmar ◽  
Saqib Walayat ◽  
Ryan Nolte
Keyword(s):  
Hepatic Artery ◽  
Endoscopic Retrograde Cholangiopancreatography ◽  
Chronic Cholecystitis ◽  
Upper Endoscopy ◽  
Acute Blood Loss ◽  
Endoscopic Retrograde ◽  
Artery Pseudoaneurysm ◽  
Right Hepatic Artery ◽  
Hepatic Artery Pseudoaneurysm ◽  
Computed Tomography Angiogram

Splanchnic pseudoaneurysms are rare causes of hemobilia. Specifically, hepatic artery pseudoaneurysms from infectious or inflammatory etiology are even more rare. In this article, we describe our encounter with a 72-year-old female presenting with obstructive jaundice and acute blood loss anemia. Upper endoscopy indicated hemobilia and endoscopic retrograde cholangiopancreatography was completed with stent in place. Post endoscopic retrograde cholangiopancreatography, computed tomography angiogram indicated a right hepatic artery pseudoaneurysm which was the cause of her hemobilia. The patient was ultimately treated with selective coil embolization and interval cholecystectomy.

Hepatic Artery Pseudoaneurysm—A Rare Complication of Liver Biopsy

2006 ◽  
Vol 101 ◽  
pp. S250-S251
Author(s):  
Michael Zelenetz ◽  
Daniel Levin ◽  
Alla Akivis ◽  
Safak Reka
Keyword(s):  
Liver Biopsy ◽  
Hepatic Artery ◽  
Rare Complication ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

scholarly journals Role of Transarterial Embolization in the Management of Hepatic Artery Pseudoaneurysm Postlaparoscopic Cholecystectomy

2020 ◽  
Vol 4 (03) ◽  
pp. 148-153
Author(s):  
Rozil Jayesh Gandhi ◽  
Kunal Bharat Gala ◽  
Aditi K. Gandhi
Keyword(s):  
Hepatic Artery ◽  
Clinical Success ◽  
Transarterial Embolization ◽  
Clinical Effectiveness ◽  
Endoscopic Retrograde ◽  
Abdominal Ct ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm ◽  
Postembolization Syndrome

Abstract Purpose To assess the safety and effectiveness of transarterial embolization (TAE) in the management of hepatic artery pseudoaneurysms following laparoscopic cholecystectomy (LC). Materials and Methods This is a retrospective study consisting of 13 patients who had undergone TAE for management of pseudoaneurysms of the hepatic artery or its branches following LC. Patients presented with symptoms such as hypotension, hematemesis, melena or gradual anemia post LC. Abdominal CT revealed hepatic artery pseudoaneurysm in all patients. TAE was performed with either coils or N-butyl cyanoacrylate or both. We evaluated technical and clinical effectiveness and complications of TAE. Results TAE was successful both technically and in stopping bleeding in all patients (100% technical and clinical success). No patient had rebleeding after TAE. Four patients required laparotomy for draining hemoperitoneum and clots. Endoscopic retrograde cholangiopancreatography (ERCP) for hemobilia or bile duct injury was done in eight patients. Following TAE, hepatic infarct was observed in three patients. Postembolization syndrome was seen in four patients and one patient died due to sepsis. Conclusions TAE is effective for treatment of hepatic artery pseudoaneurysms after LC. Hepatic infarcts and postembolization syndrome are the most common complications and can be managed conservatively.

A rare cause of cholangitis

2021 ◽  
Vol 5 (2) ◽  
pp. 70-71
Author(s):  
Adriana Fabiola Romano-Munive
Keyword(s):  
Hepatic Artery ◽  
Coil Embolization ◽  
Stent Migration ◽  
Biliary Stent ◽  
Endoscopic Retrograde ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

We described a case of hepatic artery pseudoaneurysm occurring as a complication of biliary stent migration, presented as cholangitis. It was managed by endoscopic retrograde cholangiopancreatoraphy and the pseudoaneurysm was treated with coil embolization.

scholarly journals Right hepatic artery pseudoaneurysm: rare complication of plastic biliary stent insertion

Endoscopy ◽  
2011 ◽  
Vol 43 (S 02) ◽  
pp. E396-E396 ◽  
Author(s):  
H. Inoue ◽  
S. Tano ◽  
R. Takayama ◽  
K. Nimomiya ◽  
K. Nishikawa ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Rare Complication ◽  
Biliary Stent ◽  
Stent Insertion ◽  
Artery Pseudoaneurysm ◽  
Right Hepatic Artery ◽  
Hepatic Artery Pseudoaneurysm
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