Successfully endovascular resolution of iatrogenic right hepatic artery pseudoaneurysm

AbstractA literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant gastrointestinal bleeding. There are more than 10 reported cases of cystic artery pseudoaneurysms but a thorough search revealed only two cases in English (1,2) and perhaps one in Japanese literature of right hepatic artery pseudoaneurysm secondary to cholecystitis presenting as massive upper gastrointestinal bleed. We present a probable fourth case in a 52 year old woman with classical clinical/biochemical picture, typical radiological appearance and who underwent successful interventional radiological treatment of this condition.

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Laparoscopic cholecystectomy complications: a new case report of a right hepatic artery pseudoaneurysm that caused jaundice

Revista Española de Enfermedades Digestivas ◽

10.17235/reed.2018.5668/2018 ◽

2018 ◽

Vol 111 ◽

Cited By ~ 1

Author(s):

Guido Villa-Gomez ◽

Manuel Alejandro Mahler ◽

Dante Manazzoni

Keyword(s):

Laparoscopic Cholecystectomy ◽

Case Report ◽

Hepatic Artery ◽

Artery Pseudoaneurysm ◽

Right Hepatic Artery ◽

Hepatic Artery Pseudoaneurysm

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S2353 Emergency Use of a FCMS and a 10-mm Esophageal CRE Balloon to Tamponade Massive Haemobilia as a Bridge to Arterial Embolization in a Patient With a Right Hepatic Artery Pseudoaneurysm

The American Journal of Gastroenterology ◽

10.14309/01.ajg.0000711460.20457.50 ◽

2020 ◽

Vol 115 (1) ◽

pp. S1249-S1250

Author(s):

Jonh Pineda ◽

Dominique Dempah ◽

Adam Guyer ◽

Richard Hargrove ◽

Jane Lindsay

Keyword(s):

Hepatic Artery ◽

Arterial Embolization ◽

Artery Pseudoaneurysm ◽

Right Hepatic Artery ◽

Hepatic Artery Pseudoaneurysm

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Hemobilia from a right hepatic artery pseudoaneurysm due to chronic cholecystitis

SAGE Open Medical Case Reports ◽

10.1177/2050313x19872075 ◽

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.

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