Gastrointestinal Radiology

, Volume 9, Issue 1, pp 171–173 | Cite as

Hemobilia from ruptured hepatic artery aneurysm: Angiographic demonstration of arteriobiliary fistula in a successfully treated case

  • Giuseppe Casula
  • Sergio Scattone
  • Luciano Cossu
  • Giovanni Simonetti


Rupture of a hepatic artery aneurysm into the biliary tree is a rare cause of hemobilia. The dramatic nature of the disease and the difficulties in obtaining a preoperative diagnosis are the main causes of its high mortality rate. Progress in vascular radiology and surgery seems to be an important factor in improving the survival rates in patients with this type of hemobilia. A case of a patient with an aneurysm of the common hepatic artery ruptured into the common bile duct is reported. Preoperative arteriography revealed the aneurysm and the arteriobiliary fistula causing massive hemobilia. The patient was successfully treated by arterial ligation and is symptom free after 2 years.

Key words

Hemobilia Hepatic artery aneurysm Arteriobiliary fistula 


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Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • Giuseppe Casula
    • 1
  • Sergio Scattone
    • 1
  • Luciano Cossu
    • 1
  • Giovanni Simonetti
    • 2
  1. 1.Department of Surgical Pathology IUniversity of CagliariItaly
  2. 2.Department of RadiologyUniversity of SassariItaly

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