EMBOLIZATION OF AN HEPATIC-ARTERY PSEUDOANEURYSM FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY

Vascular injuries during laparoscopic cholecystectomy can occur in an analogous fashion to biliary injuries, with potential laceration, tran section, and occlusion of blood vessels, A patient presented with symp tomatic hemobilia 1 month following laparoscopic cholecystectomy and w as found to have a right hepatic artery pseudoaneurysm which communica ted with the common bile duct, This was successfully embolized with se veral embolic agents, resulting in rapid resolution of all signs and s ymptoms. The patient has been free of symptoms during a follow-up peri od of 1 year. A brief discussion of hepatic artery pseudoaneurysms is presented.