Role of sonography in the diagnosis and treatment of a large iatrogenic pseudoaneurysm of a hepatic artery

Roberto Miraglia, Settimo Caruso, Luigi Maruzzelli, Angelo Luca, Bruno Gridelli

Research output: Contribution to journalArticlepeer-review

Abstract

We report the sonographic (US) findings in a case of successful combined endovascular and percutaneous treatment of a large hepatic artery pseudoaneurysm, responsible of massive hemobilia, in a patient with coexisting portal vein thrombosis. Previous percutaneous transhepatic biliary drainage placement caused the pseudoaneurysm. US identified the pseudoaneurysm and showed the biliary drain crossing the pseudoaneurysm lumen. After partial endovascular coils embolization of the pseudoaneurysm lumen, the biliary catheter was removed and the entry site of the catheter in the aneurysmal sac was occluded with an Amplatzer vascular plug released under US guidance. The residual lumen was then completely embolized with coils and Lipiodol.

Original languageEnglish
Pages (from-to)450-453
Number of pages4
JournalJournal of Clinical Ultrasound
Volume38
Issue number8
DOIs
Publication statusPublished - Oct 2010

Keywords

  • Biliary ducts
  • Embolization
  • Hemobilia
  • Interventional sonography
  • Liver
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

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