Hepatic artery pseudoaneurysm embolisation

Case contributed by Vikram Shaw

Presentation

Patient presented with upper tract GI bleeding and jaundice.

Patient Data

Age: 70 years
Gender: Female
DSA (angiography)

Proximal pseudoaneurysm coiled five days prior to imaging. Two new pseudoaneurysms have developed - one distal to the embolised pseudoaneurysm, and one proximal. 

Case Discussion

The patient previously had surgery to remove the right hepatic lobe for a hepatic adenoma. This may have led to ascending cholangitis, which predisposes the hepatic artery to multiple pseudoaneurysms via inflammation. The formation of multiple pseudoaneurysms indicates that the arterial walls were affected by cholangitis. 

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Case information

rID: 53477
Case created: 20th May 2017
Last edited: 22nd May 2017
Inclusion in quiz mode: Included

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