Right hepatic artery pseudoaneurysm and cystic duct leak after laparoscopic cholecystectomy.
Laparoscopic cholecystectomy (LC) seems to be associated with an increased risk of biliary or vascular injuries. Hepatic artery pseudoaneurysms (HAP) are rare complications of LC. HAP can occur in the early or late postoperative period. Patients with HAP present with abdominal pain, hemobilia, and liver function test (LFT) alterations. We report the case of a patient who was affected with a cystic duct stump leak associated with a right HAP and was treated by endoscopic biliary drainage and angiographic coil embolization.
Journé
S
S
Medicosurgical Department of Gastroenterology, Erasmus Hospital, Free University of Brussels, 808 route de Lennik, 1070 Brussels, Belgium.
De Simone
P
P
Laureys
M
M
Le Moine
O
O
Gelin
M
M
Closset
J
J
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D015901:Angiography, Digital Subtraction; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000150:complications / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D003131:Combined Modality Therapy; D003549:Cystic Duct / Q000293:injuries* / Q000601:surgery; D004322:Drainage; D004621:Embolization, Therapeutic; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D019106:Postoperative Hemorrhage / Q000209:etiology; D011184:Postoperative Period; D012306:Risk; D016717:Sphincterotomy, Endoscopic