HEPATIC-ARTERY PSEUDOANEURYSM FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY - TRANSCATHETER INTRAARTERIAL EMBOLIZATION

We present a case of hepatic artery injury with pseudoaneurysm formati on following laparoscopic cholecystectomy. A 29-year-old man was refer red to our hospital with right upper quadrant pain, jaundice and upper gastrointestinal bleeding one month after laparoscopic cholecystectom y. Gastroscopy showed mucosal erosions at the gastroesophageal junctio n. The patient did well after medical treatment only and was discharge d one week later. However, ten days later he was readmitted with recur rent upper gastrointestinal bleeding. Usual laboratory tests, routine imagine diagnostic procedures and selective hepatic arteriogram were p erformed. Usual laboratory tests and routine imagine diagnostic proced ures were inconclusive, but selective hepatic arteriogram showed a rig ht hepatic artery pseudoaneurysm The diagnosis of hemobilia was establ ished. Embolization of the aneurysm with coils was carried out. Bleedi ng was controlled, the patient was discharged one week later and since then he remains under close follow up without any evidence of bleedin g recurrence. We believe that the intraarterial embolization of a pseu doaneurysm is a safe and effective method to manage some complications such as bleeding or hemobilia.