Open AccessRadiological management of multiple hepatic artery pseudoaneurysms associated with cholangitic abscesses
Author(s) -
Ankur Goyal,
Kumble Seetharama Madhusudhan,
Shivanand Gamanagatti,
Bhaskar Baruah,
S. Shalimar,
Raju Sharma
Publication year - 2016
Publication title -
indian journal of radiology and imaging - new series/indian journal of radiology and imaging/indian journal of radiology and imaging
Language(s) - English
Resource type - Journals
eISSN - 0971-3026
pISSN - 0970-2016
DOI - 10.4103/0971-3026.178353
Subject(s) - medicine , radiology , percutaneous , complication , pancreatitis , angiography , pseudoaneurysm , interventional radiology , embolization , stent , radiological weapon , liver abscess , acute pancreatitis , surgery , abscess , aneurysm
Hepatic artery pseudoaneurysms (HAP) are uncommon, occurring mostly as a complication of trauma (accidental or iatrogenic). Liver abscess rarely causes HAP and multiple HAP associated with cholangitic abscesses have not been reported in the literature. We present a patient of acute necrotizing pancreatitis with stent block cholangitis and multiple cholangitic abscesses who developed hemorrhagic output through drainage catheter in the liver abscess. A multiphasic CT angiography demonstrated three HAP, which were treated with a combination of endovascular coil embolization and percutaneous thrombin injection. The fact that cholangitic abscesses may be associated with pseudoaneurysms should not be neglected, considering the potentially catastrophic complication and relatively easy radiological management. CT angiography permits accurate diagnosis and lays down the roadmap for endovascular procedures.