Right hepatic artery pseudoaneurysm fistulating to the biliary tract responsible for recurrent upper gastrointestinal tract bleeding
Authors:
Tomáš Paseka 1; Petr Vlček 1; Bohuslav Vojtíšek 2; Bohuslav Kianička 3
Authors‘ workplace:
I. chirurgická klinika LF MU a FN u sv. Anny v Brně
1; Klinika zobrazovacích metod FN u sv. Anny v Brně
2; Gastreoenterologické oddělení FN u. sv. Anny v Brně
3
Published in:
Čas. Lék. čes. 2012; 151: 472-475
Category:
Case Report
Overview
The paper presents a case of 51 years old patient suffering from repetitive upper intestinal tract bleedings following several months after uncomplicated laparoscopic cholecystectomy for acute cholecystitis. After a difficult diagnostic algorithm the diagnosis is set as a right hepatic artery pseudoaneurysm fistulating into the cystic duct stump. Several attempts of intraarterial embolisation (coiling) were done with only temporary effect. Finally an open surgical procedure with transligation of the aneurysm was performed with an immediate and definitive effect. No clinical signs of bleeding appeared within 6 months after the procedure.
Key words:
haemobilia, hepatic artery pseudoaneurysm, complication of cholecystectomy, coiling.
Sources
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