[Iatrogenic aneurysm of the hepatic artery. Treatment by percutaneous injection of thrombin and selective arterial embolization]

Ann Chir. 1994;48(2):210-3.
[Article in French]

Abstract

One case of hemobilia, revealing a right hepatic aneurysm, following a hepatic biopsy for active chronic hepatitis B, is reported. The diagnosis established by computed tomography and arteriography. Because of chronic hepatitis and the high localization of the aneurysm, surgery was not performed. A direct percutaneous thrombin injection was performed, owing to the fact that arterial catheterization was unsuccessful, and was followed by a decrease in volume of the aneurysm, but definitive recovery was achieved secondarily by arterial embolization (coil). This case illustrates the therapeutic alternative biopsy in intrahepatic arterial aneurysm treatment.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm / complications*
  • Aneurysm / diagnostic imaging
  • Aneurysm / therapy
  • Angiography
  • Biopsy, Needle / adverse effects
  • Embolization, Therapeutic / methods*
  • Hemobilia / diagnostic imaging
  • Hemobilia / etiology*
  • Hemobilia / therapy
  • Hepatic Artery / diagnostic imaging*
  • Hepatitis B / pathology
  • Humans
  • Male
  • Thrombin / therapeutic use*
  • Tomography, X-Ray Computed

Substances

  • Thrombin