Atypical Presentation of Left Hepatic Artery Pseudoaneurysm

Hepatic artery pseudoaneurysm (HAP) commonly occurs after trauma and is rarely seen as a complication of pyogenic liver abscess. Patients with HAP can present with hemobilia secondary to arterobiliary fistula. We report a case of a 29-year-old woman who presented with abdominal pain, fever, and jaundice, who was diagnosed to have a pyogenic liver abscess that had led to the development of left HAP, presenting with hemobilia. The patient was successfully managed with endovascular coil embolization.

Automated summary

Hepatic artery pseudoaneurysm (HAP) is a common complication after trauma, but it is rarely seen as a complication of pyogenic liver abscess. This article reports a case of a 29-year-old female patient who presented with abdominal pain, fever, and jaundice, and was diagnosed with pyogenic liver abscess complicated by left HAP causing hemobilia. The patient was successfully managed with endovascular coil embolization.