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A Journal on Surgery

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Chirurgia 2001 April;14(2):93-6

language: Italian

Pseudoaneurysm of the right hepatic artery after resection of the principal biliary tract. Case report

Intini S., Dado G., Marcotti E., Scanavacca F., Vianello V., Bresadola V., Bresadola F.


Pseudoaneurysms of the visceral arteries are very uncommon, more so than aneurysms of the visceral arteries (incidence of these in the general population is about 0.2%). Yet, they may also frequently develop fatal complications. The cause is usually an arterial lesion of various kinds (traumatic, iatrogenic, etc.). We report the case of a 65 year-old male patient operated on by our surgical team by cholecystectomy, resection of the principal biliary tract and the two hepatic ducts fallowed by biductal-jejunum-anastomosis for a Klatskin tumor, already treated with two biliary stents. Over one month after operation, he presented fever with shivering, jaundice, melaena, cholestasis. Using radiological procedures a pseudoaneurysm of the right hepatic artery
was diagnosed. It was treated by transcatheter microcoil embolization obtaining a total exclusion of the lesion with no alterations in blood perfusion of the liver. The clinical conditions of the patient after the procedure improved rapidly. After ten months diagnostic examinations didn't demonstrate vascular alterations.

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