Hepatic artery pseudoaneurysm following percutaneous transhepatic cholangiogram: an extremely rare complication

Authors

Pratyusha Tirumanisetty, Rochester Regional HealthFollow
Jose William Sotelo, Universidad Autónoma Metropolitana
Aditya Rander, Rochester Regional HealthFollow
Taussif Syed, Rochester Regional HealthFollow

Department

Internal Medicine

Document Type

Article

Publication Title

BMJ Case Reports

Abstract

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.

DOI

10.1136/bcr-2019-229335

Volume

12

Issue

7

Publication Date

7-1-2019

Recommended Citation

Tirumanisetty, P., Sotelo, J., Rander, A., & Syed, T. (2019). Hepatic artery pseudoaneurysm following percutaneous transhepatic cholangiogram: an extremely rare complication. BMJ Case Reports, 12 (7) https://doi.org/10.1136/bcr-2019-229335