Intra-hepatic arterial pseudoaneurysm causing life-threatening upper gastrointestinal bleed after removal of biliary drainage catheter
2009

Case of a Life-Threatening Bleed from a Hepatic Artery Pseudoaneurysm

Sample size: 1 publication Evidence: low

Author Information

Author(s): Taneja M, Lo R, Sebastian MG, Chow PKH

Primary Institution: Singapore General Hospital

Hypothesis

Can a hepatic artery pseudoaneurysm develop as a complication of biliary drainage catheter insertion?

Conclusion

The case highlights the importance of recognizing complications from biliary drainage procedures, as they can lead to life-threatening situations.

Supporting Evidence

  • Hepatic artery pseudoaneurysms are a rare complication of biliary drainage procedures.
  • CT angiography is crucial for diagnosing vascular complications in patients with gastrointestinal bleeding.
  • Endovascular treatment can effectively manage hepatic artery pseudoaneurysms.

Takeaway

Sometimes, when doctors put in tubes to help drain bile, it can accidentally hurt nearby blood vessels, causing serious bleeding.

Methodology

The patient underwent a CT angiogram to identify the source of bleeding, followed by endovascular treatment to embolize the pseudoaneurysm.

Limitations

The case report is based on a single patient, limiting generalizability.

Participant Demographics

A 54-year-old previously healthy male patient.

Digital Object Identifier (DOI)

10.2349/biij.5.3.e20

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