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Case Reports
. 2011 Nov-Dec;31(6):641-3.
doi: 10.4103/0256-4947.87103.

Right hepatic arterial pseudoaneurysm with hemobilia following minilaparotomy cholecystectomy: a rare complication

Jun-Jing Zhang  1 , Chao-Xuan Dong, Xing-Kai Meng, Li-Hong Ge, Zi-Dong Zhang, De-Fang Zhao
Affiliations
Case Reports

Right hepatic arterial pseudoaneurysm with hemobilia following minilaparotomy cholecystectomy: a rare complication

Jun-Jing Zhang et al. Ann Saudi Med. 2011 Nov-Dec.

Abstract

Hepatic arterial pseudoaneurysm with hemobilia occurs less frequently as a complication of minilaparotomy cholecystectomy than laparoscopic cholecystectomy; however, given its severe nature, it needs to be managed promptly. This report presents a case of right hepatic artery pseudoaneurysm with hemobilia in a 36-year-old woman who underwent minilaparotomy cholecystectomy 5 weeks earlier. Angiography with embolization was carried out as definitive treatment.

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Figures

Figure 1
Figure 1
On MRCP images, the hypointense region can be seen in the hepatic duct (red arrow).
Figure 2
Figure 2
Axial T2-weighted images show a hypo-intense region in right hepatic duct (red arrow).
Figure 3
Figure 3
Selective hepatic angiogram demonstrating a pseudoaneurysm at the right hepatic artery (red arrow).
Figure 4
Figure 4
Post-embolization film showing effective obliteration of the pseudoaneurysm (red arrow).
See this image and copyright information in PMC

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