Intrahepatic bilomas associated with hepatic arteriovenous malformation

A 26 year-old female presented with progressive intermittent right upper qu adrant pain. Hepatic arteriovenous malformation with small intrahepatic bil omas were found. She underwent hepatic artery ligation for control of her a bdominal pain. Though the abdominal pain subsided after the hepatic artery ligation, the intrahepatic bilomas progressed. It is possible that the hepa tic arteriovenous malformation (AVM) might reduce blood flow to the bile du ct and then induce ischemia in the peribiliary capillary plexus, thus leadi ng to bile duct necrosis and formation of bilomas, which could be further a ggravated by hepatic artery ligation.