title: Biliary ischemia following embolization of a pseudoaneurysm after pancreaticoduodenectomy.
abstract: OBJECTIVE
  To report an uncommon consequence of hepatic artery occlusion in the management of a bleeding pseudoaneurysm following pancreaticoduodenectomy.
  
  
  METHODS
  Analysis of a case involving a single patient in which a bleeding pseudoaneurysm of the gastroduodenal arterial stump following pancreaticoduodenectomy was treated by transcatheter arterial embolization.
  
  
  METHODS
  Effective hemostasis necessitated interruption of the hepatic arterial flow and was complicated by biliary ischemia and intrahepatic biloma.
authors.affiliation: Department of Digestive Surgery, Hôtel-Dieu de France Hospital. Beirut, Lebanon. rnoun@wise.net.lb
authors.forename: Roger
authors.initials: R
authors.lastname: Noun
authors.forename: Smart
authors.initials: S
authors.lastname: Zeidan
authors.forename: Carla
authors.initials: C
authors.lastname: Tohme-Noun
authors.forename: Tarek
authors.initials: T
authors.lastname: Smayra
authors.forename: Raymond
authors.initials: R
authors.lastname: Sayegh
mesh_terms: D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy*; D001659:Biliary Tract / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000628:therapy; D012307:Risk Factors; D015607:Stents; D014057:Tomography, X-Ray Computed