Table 2.
Bile-duct injury and a pseudoaneurysm: chronology, presentation and outcome of a hepatic-artery pseudoaneurysm
Age (years) and sex | Time to discharge (days) | Pseudoaneurysm presentation | Time from cholecystectomy (days) | Management | Outcome |
---|---|---|---|---|---|
76, Male | 12 | Bleeding from drainage site; Hypotension | 13 | Needed two embolisations 3 days apart | Developed segmental infarction of the right lobe of the liver. Well at 10-month follow-up. |
59, Male | 16 | Blood in the drain | 48 | Successful embolisation | Needed delayed repair of bile-duct injury (E3). Well at 41-month follow-up. |
54, Male | 13 | Rectal bleeding; Hypotension | 17 | Successful embolisation | Anastomotic stricture needing revision. Well at 81-month follow-up. |
56, Male | 5 | Haematemesis and melena | 25 | Successful embolisation | CBD stricture needed hepaticojejunostomy. Well at 99-month follow-up. |
66, Male | 41 | Blood in percutaneous drain placed for anastomotic leak. | 31 | Successful embolisation | Needed percutaneous dilatation of anastomotic stricture. Well at 78-month follow-up. |
74, Male | 3 | Hypotension; anaemia | 86 | Successful embolisation | Died 29 days after embolisation of multiple-organ failure. |
70, Female | 7 | Upper abdominal pain | 812 | Successful embolisation | Well at 16-month follow-up. |
64, Female | 21 | Blood in drain | 13 | Unable to embolise selectively. However, no flow in the pseudoaneurysm at the end of angiography | Well at 2-month follow-up. |