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Scholars Journal of Medical Case Reports | Volume-11 | Issue-05
Hepatic Artery Pseudo Aneurysm as Complication of Cholecystectomy: A Case Report
A. Diani, M. Raboua, A. Elhajjami, B. Boutakiout, M. Idrissi Ouali, N. Cherif Idrissi Ganouni
Published: May 4, 2023 | 292 185
DOI: 10.36347/sjmcr.2023.v11i05.011
Pages: 797-800
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Abstract
This manuscript discusses a rare complication of cholecystectomy, hepatic artery pseudoaneurysm (HAPA), which occurs as a result of thermal injury or direct trauma to the arterial wall. The case report of a 72-year-old woman who presented with melena and abdominal pain after a laparoscopic cholecystectomy is described. The patient was diagnosed with a false intrahepatic aneurysm via abdominal ultrasound and confirmed by CT angiography. The signs and symptoms, diagnostic techniques, and management options of HAPA are also discussed. The case was treated by trans femoral coil embolization artery embolization with superselection of the right hepatic artery by microcatheter and complete occlusion. The manuscript highlights the importance of identifying HAPA as a potential complication of cholecystectomy, and the efficacy of endovascular treatment for HAPA.