Skip to main content

Embolization of an hepatic artery pseudoaneurysm following laparoscopic cholecystectomy

CardioVascular and Interventional Radiology volume 19, pages 43–46 (1996)Cite this article

Abstract

Vascular injuries during laparoscopic cholecystectomy can occur in an analogous fashion to biliary injuries, with potential laceration, transection, and occlusion of blood vessels. A patient presented with symptomatic hemobilia 1 month following laparoscopic cholecystectomy and was found to have a right hepatic artery pseudoaneurysm which communicated with the common bile duct. This was successfully embolized with several embolic agents, resulting in rapid resolution of all signs and symptoms. The patient has been free of symptoms during a follow-up period of 1 year. A brief discussion of hepatic artery pseudoaneurysms is presented.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

References

  1. Dawson SL, Mueller PR (1994) Interventional radiology in the management of bile duct injuries. Surg Clin N Am 74:865–874

    PubMed  CAS  Google Scholar 

  2. Deziel DJ (1994) Complications of cholecystectomy. Surg Clin N Am 74:809–823

    PubMed  CAS  Google Scholar 

  3. Deziel DJ, Millikan KW, Economou SG, Doolas A, Ko ST, Airan MC (1993) Complications of laparoscopic cholecystectomy: A national survey of 4,292 hospitals and an analysis of 77,604 cases. Am J Surg 165:9–13

    PubMed  Article  CAS  Google Scholar 

  4. Litwin DEM, Girotti MJ, Poulin EC, Mamazza J, Nagy AG (1992) Laparoscopic cholecystectomy: Trans-Canada experience with 2201 cases. Can J Surg 35:291–296

    PubMed  CAS  Google Scholar 

  5. Trerotola SO, Savader SJ, Lund GB, Venbrux AC, Sostre S, Lillemoe KD, Cameron JL, Osterman FA (1992) Biliary tract complications following laparoscopic cholecystectomy: Imaging and intervention. Radiology 184:195–200

    PubMed  CAS  Google Scholar 

  6. Savader SJ, Trerotola SO, Merine DS, Venbrux AC, Osterman FA (1992) Hemobilia after percutaneous transhepatic biliary drainage: Treatment with transcatheter embolotherapy. J Vasc Intervent Radiol 3:345–352

    CAS  Article  Google Scholar 

  7. Schwartz RA, Teitelbaum GP, Katz MD, Pentecost MJ (1993) Effectiveness of transcatheter embolization in the control of hepatic vascular injuries. J Vasc Intervent Radiol 4:359–365

    CAS  Google Scholar 

  8. Uflacker R, Mourao GS, Piske RL, Souza VC, Lima S (1989) Hemobilia: Transcatheter occlusive therapy and long-term follow-up. Cardiovasc Intervent Radiol 12:136–141

    PubMed  CAS  Google Scholar 

  9. Rosen RJ, Rothberg M (1982) Transhepatic embolization of hepatic artery pseudoaneurysm following biliary drainage. Radiology 145:532–533

    PubMed  CAS  Google Scholar 

  10. Baker KS, Tisnado J, Cho SR, Beachley MC (1987) Splanchnic artery aneurysms and pseudoaneurysms: Transcatheter embolization. Radiology 163:135–139

    PubMed  CAS  Google Scholar 

  11. Tsai CH, Mo LR, Chiou CY, Ko QY, Hwang HS, Hwang MH, Yang CT, Liang TK (1992) Therapeutic embolization of post-cholecystectomy hepatic artery aneurysm. Hepatogastroenterology 39:158–160

    PubMed  CAS  Google Scholar 

  12. Genyk YS, Keller FS, Halpern NB (1994) Hepatic artery pseudoaneurysm and hemobilia following laser laparoscopic cholecystectomy. Surg Endosc 8:201–204

    PubMed  Article  CAS  Google Scholar 

  13. Vujic I (1992) Site and etiology of hemobilia. In: Castaneda-Zuniga WR, Tadavarthy SM (eds) Interventional radiology, 2nd ed. Williams and Wilkins, Baltimore, pp 225–233

    Google Scholar 

Download references

Author information

Affiliations

  1. Division of Vascular Radiology, GRB-290, Massachusetts General Hospital, P.O. Box 9657, 02114, Boston, MA, USA

    S. Mitchell Rivitz M.D. & Arthur C. Waltman

  2. Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, P.O. Box 9657, 02114, Boston, MA, USA

    Peter B. Kelsey

Authors
  1. S. Mitchell Rivitz M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arthur C. Waltman
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Peter B. Kelsey
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Rivitz, S.M., Waltman, A.C. & Kelsey, P.B. Embolization of an hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. Cardiovasc Intervent Radiol 19, 43–46 (1996). https://doi.org/10.1007/BF02560147

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02560147

Key words

  • Hepatic artery
  • Pseudoaneurysm
  • Therapeutic blockade
  • Surgery complication
  • Gallbladder, surgery