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A Challenging Case of Postcholecystectomy Pseudoaneurysm at an Uncommon Location
- Source :
- Journal of Clinical Interventional Radiology ISVIR, Vol 07, Iss 01, Pp 054-056 (2023)
- Publication Year :
- 2023
- Publisher :
- Thieme Medical Publishers, Inc., 2023.
-
Abstract
- Hepatic artery pseudoaneurysm in postcholecystectomy choleduodenal fistula is an extremely rare but clinically significant complication. A 52-year-old male presented with hematemesis and melena several weeks after open cholecystectomy for complicated gallstone disease. Upper gastrointestinal endoscopy revealed bleeding from the choledochoduodenal fistula site. On computed tomography angiography, a small right hepatic artery pseudoaneurysm close to fistula site was identified. Endovascular embolization failed due to nonopacification of the proximal right hepatic artery. Endoscopic ultrasound-guided embolization was also unsuccessful due to the small size of the aneurysm and inadequate visualization. Following this, percutaneous n-butyl cyanoacrylate glue was successfully injected into the pseudoaneurysm. The patient recovered and was planned for hepaticojejunostomy to restore biliary continuity.
Details
- Language :
- English
- ISSN :
- 24564869
- Volume :
- 07
- Issue :
- 01
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Clinical Interventional Radiology ISVIR
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.8d79de6d09234c0493690c9e3750a208
- Document Type :
- article
- Full Text :
- https://doi.org/10.1055/s-0042-1742728