Distal right hepatic artery pseudoaneurysm in a post-cholecystectomy patient presenting with severe gastrointestinal hemorrhage: a rare case report.

Abstract

Background: Hepatic artery pseudoaneurysm (HAP) is an unusually rare vascular complication following laparoscopic procedures with a few yet gradually increasing incidences. Case presentation: We report a case of 63 years old male with distal right HAP mediated massive gastrointestinal bleeding after a successful laparoscopic cholecystectomy. He was treated successfully with selective endovascular coil embolization and percutaneous thrombin administration. Conclusion: Risk of rupture and bleeding from HAP can be a potentially life-threatening scenario and needs prompt diagnosis with emergent intervention. The documentation of this case may be useful for practicing surgeons to be cautious about the possibility of pseudoaneurysmal changes during post-operative period.