RADIOINTERVENTION IN PSEUDOAEURYSM OF THE HEPATIC ARTERY AFTER BILIARY TRACT MANIPULATION: CASE REPORT

• DOI: 10.22533/at.ed.1593562320078

• Palavras-chave: Hemobilia; Bile duct manipulation; Radiointervention in hepatic artery pseudoaneurysm

• Keywords: Hemobilia; Bile duct manipulation; Radiointervention in hepatic artery pseudoaneurysm

• Abstract:

  Hemobilia causes symptoms such as pain in the upper abdomen, upper gastrointestinal bleeding, and jaundice, the combination of which is known as Quincke's triad, which occurs due to bleeding within the biliary tree. Clinical case: Male patient, 44 years old, sought the General Surgery Service of the Federal Hospital of Andaraí with an indication for elective cholecystectomy after clinical resolution of cholecystitis. Due to an iatrogenic injury to the biliary tract, he was submitted to a choledoco-duodenal biliodigestive bypass. With the shunt stenosis, he evolved with jaundice, temporarily resolved with percutaneous drainage. After a new biliodigestive anastomosis (Hepp-Couinaud), hemobilia was diagnosed, whose investigation with arteriography revealed the presence of a pseudoaneurysm in the right hepatic artery. After the follow-up responsible for the nutrition of the pseudoaneurysm was embolized, the story had a positive outcome and the patient was discharged. It is not possible, however, to associate the pseudoaneurysm with just one of the many events surrounding this case.