Tc. Liou et al., LIVER-ABSCESS CONCOMITANT WITH HEMOBILIA DUE TO RUPTURE OF HEPATIC-ARTERY ANEURYSM - A CASE-REPORT, Hepato-gastroenterology, 43(7), 1996, pp. 241-244
Hepatic artery aneurysm is an uncommon lesion, usually extrahepatic an
d rarely intrahepatic. Rupture of hepatic artery aneurysm into the bil
iary tract is a rare cause of hemobilia. Angiography is the diagnostic
method of choice and surgical intervention is the procedure of choice
for extrahepatic rupture. Interventional angiography with embolizatio
n is optimal for inaccessible intrahepatic aneurysm and extremely poor
risk patients. Reported here is a rare case of left intrahepatic arte
ry aneurysm ruptured into the intrahepatic bile duct in the course of
liver abscess. Embolization, of the hepatic artery resulted in cessati
on of bleeding.