Case Report
Volume: 6 | Issue: 8 | Published: Nov 27, 2022 | Pages: 152 - 155 | DOI: 10.24911/ejmcr/173-1664281329
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
Article Info
Authors
Somesh Saha
Department of critical care medicine and trauma care, IPGMER and SSKM Hospital, India
Manoj Mahata
Department of interventional neurology, Bellevue clinic, Kolkata, India
Partha Pratim Samui
Department of interventional radiology, Bellevue clinic, Kolkata, India.
Publication History
Received: September 27, 2022
Revised: November 01, 2022
Accepted: November 01, 2022
Published: November 27, 2022
Abstract
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, green
