scholarly journals Post-cholecystectomy Hepatic Artery Pseudoaneurysm Rupture

Cureus ◽  
2021 ◽  
Author(s):  
Mohamed Ahmed ◽  
Catherine Fontecha ◽  
Marvin Atchison ◽  
Rasha Saeed ◽  
Kimberly Tustison
Keyword(s):  
Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

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.

Endovascular Stent Exclusion of a Hepatic Artery Pseudoaneurysm

2007 ◽  
Vol 41 (2) ◽  
pp. 161-164 ◽  
Author(s):  
Dorian deFreitas ◽  
Sachin Phade ◽  
Michael Stoner ◽  
William Bogey ◽  
Charles S. Powell ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Endovascular Stent ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

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.

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