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Case Reports
. 2011 Mar-Apr;17(2):152-4.
doi: 10.4103/1319-3767.77250.

Hemobilia in a child due to right hepatic artery pseudoaneurysm: multidetector-row computed tomography demonstration

Nisar A Wani  1 , Tariq A Gojwari, Naseer A Khan, Tasleem L Kosar
Affiliations
Case Reports

Hemobilia in a child due to right hepatic artery pseudoaneurysm: multidetector-row computed tomography demonstration

Nisar A Wani et al. Saudi J Gastroenterol. 2011 Mar-Apr.

Abstract

We present a case of a 12-year-old boy who developed upper gastrointestinal bleeding in the form of hematemesis and melena 1 month after blunt trauma to liver. Computed tomography (CT) angiography with multidetector-row CT demonstrated pseudoaneurysm of right hepatic artery related to old liver laceration to be the cause of the bleeding. Pseudoaneurysm was resected using the roadmap provided by CT angiography findings.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Axial contrast-enhanced CT image showing defect in the right lobe of the liver with adjacent perihepatic fluid collection (upward arrow). Enhancing lesion is seen anterior to the right branch of the portal vein (down ward arrow). Drain tip is seen anteriorly, in perihepatic location (leftward arrow)
Figure 2
Figure 2
Axial plane thick multiplanar reformation CT angiography image showing pseudoaneurysm of the right branch of the hepatic artery (upward arrow)
Figure 3
Figure 3
Coronal plane thick multiplanar reformation CT angiography image showing right hepatic artery pseudoaneurysm with normal common hepatic artery (upward arrow), left hepatic artery (leftward arrow), and gastroduodenal artery (rightward arrow); proximal right hepatic artery is normal (small downward arrow) with pseudoaneurysm arising further distally (large downward arrow)
See this image and copyright information in PMC

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