Pseudoaneurysm of the right hepatic artery after laparoscopic cholecystectomy: A case report

Abstract

Pseudo aneurysms after laparoscopic cholecystectomy are rare and manifest as late hemobilia which is difficult to diagnose and manage. This condition mainly affects the right branch of the hepatic artery and the prognosis is poor. We report the case of an patient diagnosed with a pseudo aneurysm 10 days after laparoscopic cholecystectomy. Following radiological exploration, hemobilia was identified on the 10th postoperative day. In this case, selective embolization was not possible and therefore a ligation of the right hepatic artery was performed. The postoperative period was marked by the reappearance of hemobilia evoking the diagnosis of vascular shunts in the hepatic hilum, and double ligation of the right hepatic artery was required.