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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2016; 26(01): 99-102
DOI: 10.4103/0971-3026.178353
Intervention Radiology

Radiological management of multiple hepatic artery pseudoaneurysms associated with cholangitic abscesses

Ankur Goyal
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
,
Kumble S Madhusudhan
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
,
Shivanand Gamanagatti
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
,
Bhaskar Baruah
Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India
,
Shalimar,
Raju Sharma
Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Hepatic artery pseudoaneurysms (HAP) are uncommon, occurring mostly as a complication of trauma (accidental or iatrogenic). Liver abscess rarely causes HAP and multiple HAP associated with cholangitic abscesses have not been reported in the literature. We present a patient of acute necrotizing pancreatitis with stent block cholangitis and multiple cholangitic abscesses who developed hemorrhagic output through drainage catheter in the liver abscess. A multiphasic CT angiography demonstrated three HAP, which were treated with a combination of endovascular coil embolization and percutaneous thrombin injection. The fact that cholangitic abscesses may be associated with pseudoaneurysms should not be neglected, considering the potentially catastrophic complication and relatively easy radiological management. CT angiography permits accurate diagnosis and lays down the roadmap for endovascular procedures.

Keywords

Cholangitic abscess - CT angiography - embolization; - interventional radiology - pseudoaneurysm


Publication History

Article published online:
30 July 2021

© 2016. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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