Abstract
Hepatic artery pseudoaneurysm is a rare but serious complication following liver transplantation. A 50-year-old male patient with ulcerative colitis, sclerosing cholangitis, and end-stage liver disease underwent right lobe transplantation from a living donor. The patient was hospitalized because of impairment in liver function tests and massive pretibial edema three months after surgery. In color Doppler ultrasound and multidetector computed tomography, a pseudoaneurysm with peripheral large thrombus was detected at the anastomosis site extending anterior to the hepatic artery. The patient died as a result of unstable hemodynamic conditions.
Highlights
Liver transplantation(LT) is the only effective treatment for end-stage liver disease
HAP develops in the arterial anastomosis, and it is usually related to infection or technical failure [4].Here, we present the multidetector computed tomography (MDCT) and the color Doppler ultrasound (CDUS) findings of a significant HAP case that developed after LT
Vascular reconstruction plays a crucial role in the success of orthotopic liver transplantation (OLT)
Summary
Hepatic Artery Pseudoaneurysm: A Life-Threatening Complication of Liver Transplantation. Selcuk Parlak*, Serap Gulcek*, Hatice Kaplanoglu†, Levent Altin*, Mehmet Deveer‡ and Lale Pasaoglu*. Hepatic artery pseudoaneurysm is a rare but serious complication following liver transplantation. A 50-year-old male patient with ulcerative colitis, sclerosing cholangitis, and end-stage liver disease underwent right lobe transplantation from a living donor. The patient was hospitalized because of impairment in liver function tests and massive pretibial edema three months after surgery. In color Doppler ultrasound and multidetector computed tomography, a pseudoaneurysm with peripheral large thrombus was detected at the anastomosis site extending anterior to the hepatic artery. The patient died as a result of unstable hemodynamic conditions
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