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

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