Post-cholecystectomy Hepatic Artery Pseudoaneurysm Rupture.

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Vascular Surgery
• Surgical Complications

Background:

• Laparoscopic cholecystectomy is a common procedure with a low complication rate.
• Hepatic artery pseudoaneurysms are rare but life-threatening complications.
• Patient selection and surgical expertise are crucial for minimizing risks.

Observation:

• A patient developed a ruptured hepatic pseudoaneurysm three weeks after a laparoscopic cholecystectomy converted to open surgery.
• The pseudoaneurysm presented as a potentially fatal intra-abdominal hemorrhage.
• Symptoms of pseudoaneurysm typically include hemobilia, but free rupture can occur.

Findings:

• Transarterial embolization is the preferred initial management for hepatic artery pseudoaneurysms when feasible.
• Ruptured hepatic pseudoaneurysms require prompt diagnosis and intervention.
• This case underscores the potential for delayed complications even after successful surgery.

Implications:

• Increased awareness of hepatic artery pseudoaneurysms is necessary for surgeons performing cholecystectomies.
• Early recognition and management can improve patient outcomes for this rare complication.
• Further research into risk factors and preventative strategies may be warranted.