Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.
Authors: Somesh Saha, Ritwick Mondal, Manoj Mahata, Partha Pratim Samui
Background: Hepatic artery pseudoaneurysm (HAP) is an unusually rare vascular complication following laparoscopic procedures with a few yet gradually increasing incidences. Case Presentation: We report a case of a 63-year-old male with distal right HAP-mediated massive gastrointestinal bleeding after a successful laparoscopic cholecystectomy. He was treated successfully with selective endovascular coil embolization and percutaneous thrombin administration. Conclusion: The risk of rupture and bleeding from HAP can be a potentially life-threatening scenario and needs prompt diagnosis with emergent intervention. The documentation of this case may be useful for practicing surgeons to be cautious about the possibility of pseudoaneurysmal changes during the post-operative period.
Keywords: Case report, HAP, pseudoaneurysm, laparoscopic cholecystectomy, DSA, angiography, embolization.
Authors
Correspondence to:
Ritwick Mondal, Department of critical care medicine and trauma care, IPGMER and SSKM Hospital, India ritwickraw@gmail.com
Publication history:
Received 27 Sep 2022
Revised 01 Nov 2022
Accepted 07 Nov 2022
Published online 27 Nov 2022
Published in print 14 Dec 2022
Saha S, Mondal R, Mahata M, Samui PP. Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. EJMCR. 2022; 6(8): 152-155. doi:
10.24911/ejmcr/173-1664281329
Saha S, Mondal R, Mahata M, Samui PP. Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. https://www.ejmcr.com/?mno=117791 [Access: May 13, 2024]. doi:
10.24911/ejmcr/173-1664281329
Saha S, Mondal R, Mahata M, Samui PP. Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. EJMCR. 2022; 6(8): 152-155. doi:
10.24911/ejmcr/173-1664281329
Saha S, Mondal R, Mahata M, Samui PP. Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. EJMCR. (2022), [cited May 13, 2024]; 6(8): 152-155. doi:
10.24911/ejmcr/173-1664281329
Saha, S., Mondal, . R., Mahata, . M. & Samui, . P. P. (2022) Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. EJMCR, 6 (8), 152-155. doi:
10.24911/ejmcr/173-1664281329
Saha, Somesh, Ritwick Mondal, Manoj Mahata, and Partha Pratim Samui. 2022. Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. European Journal of Medical Case Reports, 6 (8), 152-155. doi:
10.24911/ejmcr/173-1664281329
Saha, Somesh, Ritwick Mondal, Manoj Mahata, and Partha Pratim Samui. "Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.." European Journal of Medical Case Reports 6 (2022), 152-155. doi:
10.24911/ejmcr/173-1664281329
Saha, Somesh, Ritwick Mondal, Manoj Mahata, and Partha Pratim Samui. "Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.." European Journal of Medical Case Reports 6.8 (2022), 152-155. Print. doi:
10.24911/ejmcr/173-1664281329
Saha, S., Mondal, . R., Mahata, . M. & Samui, . P. P. (2022) Distal right hepatic artery pseudoaneurysm in a postcholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.. European Journal of Medical Case Reports, 6 (8), 152-155. doi:
10.24911/ejmcr/173-1664281329
