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Right hepatic artery pseudoaneurysm after laparoscopic cholecystectomy
M Ibrarullah1, B Singh, P Mehrotra
1Department of Surgical Gastroenterology and Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
The American Journal of Gastroenterology
|March 1, 1997
Summary
A patient experienced severe gastrointestinal bleeding after gallbladder removal due to a right hepatic artery pseudoaneurysm. This rare complication was diagnosed via angiography and successfully treated with surgical artery ligation.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Interventional Radiology
Background:
- Laparoscopic cholecystectomy is a common surgical procedure.
- Pseudoaneurysms are rare but serious complications following surgery.
- Hepatic artery pseudoaneurysms can lead to significant gastrointestinal bleeding.
Observation:
- A patient developed recurrent massive upper gastrointestinal bleeding post-laparoscopic cholecystectomy.
- Selective angiography confirmed a pseudoaneurysm of the right hepatic artery.
Findings:
- The pseudoaneurysm was successfully diagnosed using selective angiography.
- Surgical ligation of the right hepatic artery was performed via laparotomy.
Implications:
- This case highlights the importance of considering hepatic artery pseudoaneurysm in patients with gastrointestinal bleeding after cholecystectomy.
- Prompt diagnosis and intervention, such as arterial ligation, are crucial for managing this complication.
- Further research into preventative strategies and less invasive treatment options may be warranted.