Migration of Glue Cast into Biliary System Following Embolisation of a Mycotic Pseudoaneurysm of the Hepatic Artery

Abstract

Pseudoaneurysm of the hepatic artery is at high risk of rupture, and thus requires early aggressive management. Patients usually present with haemobilia, upper gastrointestinal bleeding, and jaundice. Pseudoaneurysms are commonly caused by trauma, iatrogenesis, or vasculitis. Transcatheter embolisation is the mainstay treatment for intrahepatic pseudoaneurysm. We report a rare complication of migration of glue cast into the bile duct following embolisation of a hepatic pseudoaneurysm with glue.