Intrahepatic arterial aneurysm: treatment by ligation complicated by hepatic necrosis and biliary-cutaneous fistula.
An intrahepatic hepatic artery aneurysm with massive hemobilia was successfully obliterated by intraoperative ligation of a branch of the right hepatic artery. Subsequent CT studies showed a large area of intrahepatic necrosis that was well tolerated, but was eventually manifested as a biliary-cutaneous fistula. Our patient's benign course argues that management of segmental hepatic necrosis can be tailored to the clinical response.
D000783:Aneurysm / Q000150:complications* / Q000601:surgery; D001658:Biliary Fistula / Q000209:etiology*; D006431:Hemobilia / Q000150:complications / Q000601:surgery; D006499:Hepatic Artery; D006801:Humans; D008026:Ligation / Q000009:adverse effects; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000150:complications* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011183:Postoperative Complications / Q000209:etiology*; D012871:Skin Diseases / Q000209:etiology*