Traumatic pseudoaneurysm of the hepatic artery after percutaneous liver biopsy and laparoscopic cholecystectomy in a patient with biliary cirrhosis: a case report

Hemobilia is a rare but recognizable complication of percutaneous transhepatic diagnostic or therapeutic procedures. The diagnosis is sometimes difficult because of the time lag between the procedure and the first symptoms, which can be intermittent. A 35-year-old woman had hemobilia after percutane...

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Bibliographic Details
Published in:Canadian Journal of Surgery 1998-08, Vol.41 (4), p.316-320
Main Authors: Kwauk, S T, Cameron, R, Burbridge, B, Keith, R G
Format: Article
Language:English
Subjects:
Adult
Aneurysm, False - diagnosis
Aneurysm, False - etiology
Aneurysm, False - therapy
Biopsy
Case Report
Cholecystectomy, Laparoscopic - adverse effects
Disease
Embolization, Therapeutic
Female
Hemobilia - etiology
Hemobilia - therapy
Hepatic Artery - diagnostic imaging
Humans
Liver - pathology
Liver Cirrhosis, Biliary - surgery
Radiography
Surgery
Veins & arteries
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Description
Summary:Hemobilia is a rare but recognizable complication of percutaneous transhepatic diagnostic or therapeutic procedures. The diagnosis is sometimes difficult because of the time lag between the procedure and the first symptoms, which can be intermittent. A 35-year-old woman had hemobilia after percutaneous Trucut biopsy of the liver followed by laparoscopic cholecystectomy. The diagnosis of hemobilia was made on clinical grounds, and a pseudoaneurysm of the right hepatic artery was detected on selective angiography. The patient was successfully treated with arterial embolization during angiography.
ISSN:0008-428X
1488-2310