[Pseudoaneurysm of the left hepatic artery as a complication of ERCP with sphincterotomy]

A pseudoaneurysm of the hepatic artery is a rare complication of interventional endoscopy or transhepatic puncture. The present case report describes a symptomatic pseudoaneurysm of the left hepatic artery following endoscopic retrograde cholangio-pancreatography (ERCP). The indication was a biliary pancreatitis, and it was treated by guide-wire-sphincterotomy and extraction of sludge with a Dormia basket. A superselective angiographic embolization was not necessary because of a spontaneous thrombotic obstruction of the pseudoaneurysm.