Delayed Fatal Hemorrhage From Pseudoaneurysm of the Hepatic Artery After Percutaneous Liver Biopsy

Ahmed, Aijaz; Samuels, Shaun L.; Keeffe, Emmet B.; Cheung, Ramsey C.
January 2001
American Journal of Gastroenterology;Jan2001, Vol. 96 Issue 1, p233
Academic Journal
Hemorrhage is the most common serious complication of percutaneous liver biopsy. Liver biopsy is usually done in an outpatient setting because most significant hemorrhage is evident within a few hours after biopsy. Delayed hemorrhage occurs much less frequently but carries a much higher mortality. We present a 41-yr-old man with chronic hepatitis C who underwent a percutaneous liver biopsy uneventfully but was found to have a pseudoaneurysm of the hepatic artery 5 days later. Shortly after admission, the patient experienced bleeding into the liver from the pseudoaneurysm. which was controlled initially by angiographic embolization. However, recurrent bleeding could not be controlled by repeat angiography and surgical intervention, and the patient expired. The diagnosis and management of pseudoaneurysm of the hepatic artery complicating liver biopsy is reviewed.


Related Articles

  • Hepatic artery pseudoaneurysm associated with cholecystitis that ruptured into the gallbladder. Akatsu, Tomotaka; Hayashi, Shinobu; Egawa, Tomohisa; Doi, Masakazu; Nagashima, Atsushi; Kitano, Mitsuhide; Yamane, Takashi; Yoshii, Hiroshi; Kitajima, Masaki // Journal of Gastroenterology;2004, Vol. 39 Issue 9, p900 

    Pseudoaneurysm of the hepatic artery due to cholecystitis may be very rare, and in our survey of the literature, the present case report is the first case of such a pseudoaneurysm. A 64-year-old woman presented with upper gastrointestinal bleeding and severe epigastric pain. Upper...

  • Hepatic Artery Aneurysm: A Case Study. Yashvika Khurana // Journal for Vascular Ultrasound;Jun2014, Vol. 38 Issue 2, p92 

    Hepatic artery aneurysms are very uncommon, with an estimated incidence of less than 0.25%. Most patients are asymptomatic and because of the tendency to rupture with potential catastrophic hemorrhage and liver ischemia, early diagnosis is important. Hepatic artery aneurysms are the second most...

  • Hemobilia Due to Rupture of Hepatic Artery Pseudoaneurysm. Niknam, Ramin; Afrough, Razieh; Mahmoudi, Laleh // Acta Medica Iranica;2011, Vol. 49 Issue 9, p633 

    Although gastrointestinal bleeding is common, hemobilia due to the rupture of hepatic artery pseudoaneurysm is uncommon. We report a case of hemobilia which was successfully treated via angiography.

  • Lower gastrointestinal bleeding due to hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. Mate, Ajay D.; Surnare, Kailas R.; Deolekar, Samir S.; Gvalani, Anil K. // Journal of Minimal Access Surgery;Jan-Mar2013, Vol. 9 Issue 1, p31 

    Pseudoaneurysm of hepatic artery is a rare but known complication of laparoscopic cholecystectomy (LC). Such pseudoaneurysms may bleed in biliary tree, upper gastrointestinal (GI) tract or peritoneal cavity leading to lifethreatening internal haemorrhage. It is very rare for them to present as...

  • Multiphase multidetector CT in the diagnosis of haemobilia: a potentially catastrophic ruptured hepatic artery aneurysm complicating the treatment of a patient with locally advanced rectal cancer. Mortimer, A. M.; Wallis, A.; Planner, A. // British Journal of Radiology;May2011, Vol. 84 Issue 1001, pe95 

    Acute haemobilia is an unusual and potentially catastrophic cause of gastrointestinal bleeding. We describe such a case presenting as a rare complication of a hepatic artery aneurysm following the development and successful treatment of subacute bacterial endocarditis during a radical...

  • Pancreatitis Secondary to Percutaneous Liver Biopsy-Associated Hemobilia. Van Os, Erik C.; Petersen, Bret T. // American Journal of Gastroenterology;Mar1996, Vol. 91 Issue 3, p577 

    Hemobilia refers to hemorrhage in the biliary tree and is most commonly associated with accidental and iatrogenic trauma. Rarely has pancreatitis been reported in association with hemobilia and never as a consequence of percutaneous liver biopsy-induced hemobilia. We report the case of a...

  • Pseudoaneurysm of the Cystic Artery: A Rare Cause of Hemobilia. Kaman, Lileswar; Kumar, Santosh; Behera, Arunanshu; Katariya, Ravindra Nath // American Journal of Gastroenterology;Sep1998, Vol. 93 Issue 9, p1535 

    Aneurysms are a rare cause of hemobilia, and usually involved are branches of the hepatic and gastro-duodenal arteries. A case of a patient with hemobilia secondary to a pseudoaneurysm of the cystic artery is presented. Fewer than 10 cases have been reported in the literature, and in all of them...

  • Massive upper gastrointestinal bleeding due to right hepatic artery pseudoaneurysm secondary to cholecystitis. Habib, K.; Williams, G. // Central European Journal of Medicine;Oct2013, Vol. 8 Issue 5, p665 

    A literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant...

  • Treatment of Acute Delayed Visceral Hemorrhage After Pancreatic Surgery From Hepatic Arteries with Covered Stents. Herzog, Torsten; Suelberg, Dominique; Belyaev, Orlin; Uhl, Waldemar; Seemann, Marcus; Seelig, Matthias // Journal of Gastrointestinal Surgery;Mar2011, Vol. 15 Issue 3, p496 

    Background: Delayed visceral hemorrhage following pancreatic surgery is a rare but life-threatening complication. Usually hemorrhage originates from pseudoaneurysms secondary to pancreatic or biliary fistula. Re-laparotomy is often associated with high morbidity and mortality. Endovascular...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics