Hemobilia after pseudoaneurysm of a right hepatic artery branch

Arroja, Bruno; Canhoto, Manuela; Barata, Pedro C.; Gonçalves, Cláudio Ubiratan; Silva, F; Cotrim, Isabel; Vasconcelos, H; Pais, João; Pardal, V

doi:10.4321/s1130-01082010000600009

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…Embolisation (n.s.) 2 days later None 2 years 2010 Arroja 15 72 M Cholecystitis Unknown No Right HA Endovascular Embolisation: n.s. None 2 years 2010 Trakarnsanga 16 55 M Unknown, degenerative 4.0–5.0 Yes Common HA Endovascular Embolisation: histoacryl None 2 years 2011 Mortimer 17 51 M Endocarditis 2.0 No Right HA, from SMA Endovascular Embolisation (coils) after negative emergency laparotomy because of haemodynamically unstable patient with unknown source of bleeding None None 2012 Bibyan 18 64 M Cholecystitis “Large” Yes Right HA, from SMA Endovascular Embolisation: n.s.…”

Section: Resultsmentioning

confidence: 99%

Unsuccessful Stent Graft Repair of a Hepatic Artery Aneurysm Presenting with Haemobilia: Case Report and Comprehensive Literature Review

Gao

Jonge

Verhagen

et al. 2021

EJVES Vascular Forum

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Aims To discuss treatment strategies for non-traumatic, non-iatrogenic hepatic artery aneurysms (HAAs) in the presence of an arteriobiliary fistula, illustrated by a case and followed by a comprehensive review of the literature. Methods Following the PRISMA guidelines, 24 eligible HAA cases presenting with haemobilia were identified. Characteristics of patients, aneurysms, treatment strategies and their outcomes were collected. Results A 69 year old patient with no previous hepatobiliary intervention or trauma, presented with jaundice and haemobilia caused by a HAA. Initial treatment by endovascular stenting was chosen to prevent ischaemic liver complications. Unfortunately, this strategy failed because of stent migration due to ongoing infection leading to a type 1A endoleak. The patient had to be converted to open surgery with ligation of the HAA. The patient recovered uneventfully and no complications occurred during the following 12 months. Comprehensive literature review Of the 24 cases, nine had a true HAA and 15 were pseudo/mycotic aneurysms, mainly caused by endocarditis or cholecystitis. The majority were located in the right hepatic artery. In 20 cases, an endovascular first approach was chosen with embolisation, none with covered stents. Three of these cases had to be converted to open surgery because of rebleeding. In all open (primary or secondary) cases, ligation of the HAA was performed. One patient in these series died. No liver ischaemia or abscesses were reported, although one patient developed an ischaemic gallbladder. Conclusions Patients who present with a HAA and haemobilia may be treated safely by embolisation or open ligation. Using a covered stent graft in these patients can cause problems due to ongoing infection and should be monitored closely by imaging. Publication bias and lack of long term follow up imply cautious interpretation of these findings.

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Section: Resultsmentioning

confidence: 99%

Unsuccessful Stent Graft Repair of a Hepatic Artery Aneurysm Presenting with Haemobilia: Case Report and Comprehensive Literature Review

Gao

Jonge

Verhagen

et al. 2021

EJVES Vascular Forum

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“…En nuestro paciente se realizó una angio-TC previa a la angiografía, que sirvió como mapa vascular para la planificación del procedimiento y puso de manifiesto una variante anatómica del tronco celíaco. La angiografía tiene un papel importante en el manejo de la hemobilia, tanto para el diagnóstico como para el tratamiento, especialmente en los casos secundarios a un pseudoaneurisma arterial 4 .…”

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Hemobilia secundaria a pseudoaneurisma hepático tras coledocostomía mediante tubo de Kehr

Ciria

Subirán

2012

Radiología

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“…Hemobilia is defined as the presence of blood in the biliary tree [1]. Caused by an abnormal communication between the blood vessels and bile ducts [2].…”

Section: Introductionmentioning

confidence: 99%

Hemobilia a Rare Entity: Case Report and Literature Review

Beaumont¹,

García²,

Valladares³

et al. 2016

Ann Clin Lab Res

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That is a condition hemobilia occurs infrequently in clinical practice, have different etiologies. It is defined by the presence of blood in the bile duct. Characterized by the classic triad of jaundice, right upper quadrant pain and upper gastrointestinal bleeding. For diagnosis we can use different complementary studies, imaging and endoscopic. Treatment is surgical Generally. A case of hemobilia in a chronic cholecystitis operated by patient developed obstructive jaundice WHO, with upper gastrointestinal bleeding and abdominal pain. It was as definitive treatment Performed ligation of the right hepatic artery with satisfactory evolution.

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Hemobilia after pseudoaneurysm of a right hepatic artery branch

Cited by 6 publications

References 5 publications

Unsuccessful Stent Graft Repair of a Hepatic Artery Aneurysm Presenting with Haemobilia: Case Report and Comprehensive Literature Review

Unsuccessful Stent Graft Repair of a Hepatic Artery Aneurysm Presenting with Haemobilia: Case Report and Comprehensive Literature Review

Hemobilia secundaria a pseudoaneurisma hepático tras coledocostomía mediante tubo de Kehr

Hemobilia a Rare Entity: Case Report and Literature Review

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