Hepatic artery pseudoaneurysm after liver transplantation. A result of transhepatic biliary drainage for primary sclerosing cholangitis

Transpl Int. 2002 Jan;15(1):53-5. doi: 10.1007/s00147-001-0373-x. Epub 2002 Jan 18.

Abstract

Hepatic artery pseudoaneurysm (HAP) is a rare but often life-threatening complication of liver transplantation. Treatment is usually ligation, revascularization, or retransplantation. We report a patient suffering from primary sclerosing cholangitis who required transhepatic percutaneous biliary drainage. Following orthotopic liver transplantion (OLT), he developed HAP, which was successfully embolized angiographically. We discuss the association between transhepatic biliary drainage and the development of HAP after OLT, and the possibilities for angiographic intervention in these cases.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnosis
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / therapy
  • Bile Ducts / surgery*
  • Cholangiopancreatography, Endoscopic Retrograde
  • Cholangitis, Sclerosing / complications
  • Cholangitis, Sclerosing / surgery*
  • Choledochostomy
  • Drainage / adverse effects*
  • Hepatic Artery* / diagnostic imaging
  • Hepatic Artery* / pathology
  • Humans
  • Liver Transplantation / adverse effects*
  • Male
  • Middle Aged
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology*
  • Postoperative Complications / therapy