Life-threatening liver laceration with arterial hemorrhage complicating percutaneous treatment of hepatic hydatid cyst.
We present a 76-year-old woman known to have a large right hepatic lobe hydatid cyst which recurred twice after surgical excision. CT-guided percutaneous alcohol ablation was conducted to sclerose the cyst, but the procedure was complicated by parenchymal liver laceration and active arterial hemorrhage from a branch of the right hepatic artery. Bleeding was controlled by both endovascular and surgical interventions. Liver laceration with arterial hemorrhage is a rare not previously reported serious complication of percutaneous treatment of hepatic hydatid cyst that may be potentially life-threatening.
Loutfi
Shukri I
SI
Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.
Arabi
Mohammad S
MS
Safadi
Bassem Y
BY
Haddad
Maurice C
MC
D000368:Aged; D004322:Drainage / Q000379:methods*; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications*; D006801:Humans; D022125:Lacerations / Q000150:complications* / Q000503:physiopathology; D008107:Liver Diseases / Q000188:drug therapy / Q000209:etiology*; D013396:Suction / Q000379:methods*