Successful intervention of post-cholecystectomy right hepatic artery pseudoaneurysm: A case report

Lu, Jialiang; Liu, Chenming; Shen, Zhihong; Fang, Jianfeng

doi:10.1016/j.asjsur.2023.06.011

Cited by 1 publication

(2 citation statements)

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“…Hepatic artery pseudoaneurysm is a rare complication associated with laparoscopic surgery which can lead to life-threatening bleeding and infection ( 1 , 2 ). The complication may also occur following trauma, inflammation, percutaneous interventions, and liver transplantation patients ( 5 , 6 ).…”

Section: Discussionmentioning

confidence: 99%

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Hepatic artery pseudoaneurysm: three case reports and literature review

Zhao,

Yang,

Yao

et al. 2024

Front. Med.

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Laparoscopic surgery is extensively applied in the treatment of hepatobiliary diseases. Hepatic artery pseudoaneurysm (HAP) is a rare complication following hepatic biliary surgery through laparoscopy. The clinical manifestations of HAP are diverse and can be fatal. Given its severity, rapid assessment and management are crucial to ensuring a good prognosis. Here, we report three cases of HAP; two underwent laparoscopic surgery due to cholelithiasis, and another caused by trauma. The first case exhibited a pseudoaneurysm involving the distal portion of the right hepatic artery main trunk. The second patient had a pseudoaneurysm at the bifurcation of the left and right hepatic arteries. The third case involved a patient with a pseudoaneurysm involving a branch of the right hepatic artery. The main clinical manifestations of all three cases were bleeding from the biliary tract (the first two cases showed postoperative bleeding in the T-tube, while the third case exhibited gastrointestinal bleeding). The final diagnosis was obtained through digital subtraction angiography. The three patients underwent successful transcatheter arterial embolization operation and a follow-up revealed they were disease-free and alive. This article aims to highlight a rare complication of laparoscopic hepatobiliary surgery and share our experience in early diagnosis and treatment of HAP.

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Section: Discussionmentioning

confidence: 99%

“…Hepatic artery pseudoaneurysms (HAP) is considered a rare complication in patients undergoing surgical treatment for liver and gallbladder diseases through laparoscopic surgery ( 1 , 2 ). Its actual incidence is difficult to estimate because many cases are asymptomatic or subclinical, or thrombus formation occurs spontaneously.…”

Section: Introductionmentioning

confidence: 99%