[Post-traumatic pseudoaneurysm of an anomalous right hepatic artery with arteriobiliary fistula and hemobilia].
The authors describe a rare case of posttraumatic pseudoaneurysm of an anomaly arising right hepatic artery accompanied with arteriobiliary fistula. Treacherousness of this case was given by anomaly origin of the affected vessel. Thirty-four year old female has been treated at the author's department after sustained knife abdominal injury. Before our treatment, she was twice operated at the other hospital for haemoperitoneum and subhepatic abscess with haemobilia. The patient was transferred to the 1st department of surgery in Kosice because of septic shock, right-lobe hepatic abscess and repeated haemobilia. Selective hepatico-mesentericography revealed the cause of haemobilia. At the operation a double ligation of anomaly right hepatic artery was carried out together with closure of arteriobiliary fistula via choledochotomy. Haemobilia was not seen after surgery and the patient was discharged without any signs of liver disfunction. Repeated angiography showed closure of anomaly arising vessel.
Bober
J
J
I. chirurgická klinika FNsP, Kosice, Slovenská republika.
Vrzgula
A
A
Samek
P
P
Mach
P
P
D000328:Adult; D017541:Aneurysm, False / Q000209:etiology*; D001658:Biliary Fistula / Q000209:etiology*; D005260:Female; D005704:Gallbladder / Q000293:injuries*; D006431:Hemobilia / Q000209:etiology*; D006499:Hepatic Artery / Q000002:abnormalities* / Q000293:injuries*; D006801:Humans; D016157:Vascular Fistula / Q000209:etiology*; D014951:Wounds, Stab / Q000150:complications