Case Report: Spontaneous Resolution of Intracavitary Hepatic Artery Pseudoaneurysm Caused by Amebic Liver Abscess following Percutaneous Drainage

Rajeev Nayan Priyadarshi Department of Radio-Diagnosis, All India Institute of Medical Sciences, Patna, India;

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Ramesh Kumar Department of Gastroenterology, All India Institute of Medical Sciences, Patna, India;

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Utpal Anand Department of G.I. Surgery, All India Institute of Medical Sciences, Patna, India

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Intrahepatic pseudoaneurysm (IHPA) is generally iatrogenic, and it warrants urgent management because of its reportedly significant risk of rupture leading to considerable mortality. Intrahepatic pseudoaneurysm caused by amebic liver abscess (ALA) is exceedingly rare with fewer than seven published reports. All reported symptomatic cases have been treated with hepatic artery embolization; therefore, little is known about its natural course and effect of abscess drainage on its outcome. We report the first case of symptomatic intracavitary IHPA caused by ALA in which ultrasound-guided percutaneous catheter drainage of the abscess resulted in the spontaneous resolution of the IHPA.

Author Notes

Address correspondence to Rajeev Nayan Priyadarshi, Department of Radio-Diagnosis, All India Institute of Medical Sciences, Patna 801507, India. E-mail: drrajeevnp@gmail.com

Authors’ addresses: Rajeev Nayan Priyadarshi, Department of Radio-Diagnosis, All India Institute of Medical Sciences, Patna, India, E-mail: drrajeevnp@gmail.com. Ramesh Kumar, Department of Gastroenterology, All India Institute of Medical Sciences, Patna, India, E-mail: docrameshkr@gmail.com. Utpal Anand, Department of G.I. Surgery, All India Institute of Medical Sciences, Patna, India, E-mail: utpalanand2@gmail.com.

Disclosure: All procedures performed in study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from the patient to publish this case report

  • 1.

    Tulsyan N, Kashyap VS, Greenberg RK, Sarac TP, Clair DG, Pierce G, Ouriel K, 2007. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg 45: 276–283.

    • Search Google Scholar
    • Export Citation
  • 2.

    Berceli SA, 2005. Hepatic and splenic artery aneurysms. Semin Vasc Surg 18: 196–201.

  • 3.

    Green MH, Duell RM, Johnson CD, Jamieson NV, 2001. Haemobilia. Br J Surg 88: 773–786.

  • 4.

    Tessier DJ, Fowl RJ, Stone WM, McKusick MA, Abbas MA, Sarr MG, Nagorney DM, Cherry KJ, Gloviczki P, 2003. Iatrogenic hepatic artery pseudoaneurysms: an uncommon complication after hepatic, biliary, and pancreatic procedures. Ann Vasc Surg 17: 663–669.

    • Search Google Scholar
    • Export Citation
  • 5.

    Gopanpallikar A, Rathi P, Sawant P, Gupta R, Dhadphale S, Deshmukh H, 1997. Hepatic artery pseudoaneurysm associated with amebic liver abscess presenting as upper GI hemorrhage. Am J Gastroenterol 92: 1391–1393.

    • Search Google Scholar
    • Export Citation
  • 6.

    Srivastava DN, Sharma S, Pal S, Thulkar S, Seith A, Bandhu S, Pande GK, Sahni P, 2006. Transcatheter arterial embolization in the management of hemobilia. Abdom Imaging 31: 439–448.

    • Search Google Scholar
    • Export Citation
  • 7.

    Kang M, Bapuraj JR, Khandelwal N, Kochhar R, Kalra N, Verma GR, 2006. Liver abscess associated with hepatic artery pseudoaneurysm with arteriovenous fistula: imaging and interventional management. Acta Radiol 47: 162–166.

    • Search Google Scholar
    • Export Citation
  • 8.

    Yadav AK, Gupta S, Hariprasad S, Kumar A, Ghuman SS, Gupta A, 2015. Amoebic liver abscess with hepatic artery pseudoaneurysm: successful treatment by interventional radiology. J Clin Exp Hepatol 5: 86–88.

    • Search Google Scholar
    • Export Citation
  • 9.

    Tacconi D, Lapini L, Giorni P, Corradini S, Caremani M, 2009. Pseudoaneurysm of the hepatic artery, a rare complication of an amebic liver abscess. J Ultrasound 12: 49–52.

    • Search Google Scholar
    • Export Citation
  • 10.

    Stanley SL Jr., 2003. Amoebiasis. Lancet 361: 1025–1034.

  • 11.

    Priyadarshi RN, Prakash V, Anand U, Kumar P, Jha AK, Kumar R, 2019. Ultrasound-guided percutaneous catheter drainage of various types of ruptured amebic liver abscess: a report of 117 cases from a highly endemic zone of India. Abdom Radiol 44: 877–885.

    • Search Google Scholar
    • Export Citation
  • 12.

    Abbas MA, Fowl RJ, Stone WM, Panneton JM, Oldenburg WA, Bower TC, Cherry KJ, Gloviczki P, 2003. Hepatic artery aneurysm: factors that predict complications. J Vasc Surg 38: 41–45.

    • Search Google Scholar
    • Export Citation
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