[Embolization of a pseudoaneurysm of the hepatic artery with hemobilia by direct percutaneous puncture]. / Embolisation eines Pseudoaneurysmas der A. hepatica mit Hämobilie durch direkte perkutane Punktion.

ABSTRACT

Haemobilia is a rare cause of gastrointestinal bleeding that carries a high mortality. It occurs as a complication of percutaneous trans-hepatic biliary drainage in up to 6% cases. The cause is usually a pseudo-aneurysm of the hepatic artery, which can be treated by trans-catheter embolisation. If this fails, direct puncture and embolisation of the aneurysm is a possible alternative to surgical ligation of the hepatic artery.