Open AccessHepatic artery pseudoaneurysm following percutaneous transhepatic cholangiogram: an extremely rare complication
Author(s) -
Pratyusha Tirumanisetty,
Jose William Sotelo,
Aditya Rander,
Tausif Syed
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229335
Subject(s) - medicine , pseudoaneurysm , percutaneous , complication , common bile duct , radiology , surgery , artery , bile duct
A 72-year-old female patient who was admitted for ischaemic stroke had developed ascending cholangitis. Percutaneous transhepatic cholangiogram was performed to drain the infected bile, but this was complicated by haemorrhagic shock and hepatic haematoma. Mesenteric angiogram showed right hepatic artery (RHA) pseudoaneurysm which was embolised, there by stopping her bleeding. RHA is normally located posterior to common bile duct (CBD). An uncommon location of RHA is anterior to CBD, which can lead to haemorrhagic complications during percutaneous cholangiogram.