Accessory Right Hepatic Artery Pseudoaneurysm Resulting in Biliary Obstruction.

ABSTRACT:

Introduction

Visceral pseudoaneurysms are prone to rupture and can cause mass effect on surrounding structures, with extrinsic compression on the biliary tree being a rare but challenging complication.

Case presentation

We report a case of a 48-year-old man with a history of alcohol excess who presented acutely unwell with jaundice. Imaging revealed a pseudoaneurysm of the accessory right hepatic artery extending into an adjacent pancreatic pseudocyst, leading to common bile duct compression. Successful management included pseudoaneurysm exclusion with a stent graft and concurrent alleviation of the biliary obstruction.

Conclusion

Managing pancreatic pseudocysts with biliary compression becomes complicated when an accompanying pseudoaneurysm is present, elevating the

SUBMITTER: Primrose CW 

PROVIDER: S-EPMC10684257 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature