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Case report
Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis
  1. Maninder Kaur1,
  2. Harsimran Bhatia1,
  3. Gaurav Muktesh2 and
  4. Pankaj Gupta1
  1. 1Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Pankaj Gupta; pankajgupta959{at}gmail.com

Abstract

Hepatic artery pseudoaneurysm (HAP) is mostly encountered secondary to trauma or iatrogenic causes. HAP associated with cholangitic liver abscess is a rare complication. We present a case of gallstone disease and choledocholithiasis who developed moderate cholangitis and a liver abscess. A small HAP was detected incidentally on a biphasic CT done to evaluate the biliary system. Repeat CT after management with endoscopic retrograde cholangiopancreatography and antibiotics showed resolution of cholangitic abscess with spontaneous thrombosis of HAP.

  • radiology
  • gastrointestinal system

https://doi.org/10.1136/bcr-2021-247304

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    Footnotes

    • Contributors MK, HB and PG have designed and drafted the article. MK, HB, GM and PG did acquisition of data and literature review. GM and PG were responsible for conception, critical revisions and literature review. All were involved in the clinical care of the patient and read and approved the final version of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.