Korean J Gastroenterol.  2024 May;83(5):205-207. 10.4166/kjg.2024.037.

Pyogenic Liver Abscess Complicated with Pseudoaneurysm Rupture

Affiliations
  • 1Division of Gastroenterology/Hepatology, Department of Internal Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea


Figure

  • Fig. 1 Abdominal sonography (above) and liver dynamic MRI (below) showing abscess with pseudoaneurysm formation (white arrowhead) (MRI left: T2-weighted image, MRI right: T1 early arterial phase).

  • Fig. 2 Abdominal sonography with doppler imaging showing blood flow inside abscess cavity.

  • Fig. 3 Angiography showing pseudoaneurysm rupture into abscess cavity. White arrowhead showing the culprit lesion of the perforated pseudoaneurysm.

  • Fig. 4 Angiography showing complete occlusion of the ruptured pseudoaneurysm by coil embolization.


Reference

1. 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. DOI: 10.1080/02841850500466575. PMID: 16604962.
2. 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. DOI: 10.1016/j.jus.2009.02.003. PMID: 23396987. PMCID: PMC3553300.
3. Khan A, Pal KM, Khan HI. 2011; Hepatic artery pseudoaneurysm; a rare complication of amoebic liver abscess. J Pak Med Assoc. 61:839–840.
4. 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. DOI: 10.1016/j.jceh.2014.12.009. PMID: 25941436. PMCID: PMC4415193.
5. Priyadarshi RN, Kumar R, Anand U. 2019; Case report: Spontaneous resolution of intracavitary hepatic artery pseudoaneurysm caused by amebic liver abscess following percutaneous drainage. Am J Trop Med Hyg. 101:157–159. DOI: 10.4269/ajtmh.19-0103. PMID: 31162010. PMCID: PMC6609167.
6. Lee JY, Lee HN, Lee WH, Shin HC, Kim SS, Hwang JA. 2020; Liver abscess caused by klebsiella oxytoca with hepatic artery pseudoaneurysm: A case report. Taehan Yongsang Uihakhoe Chi. 81:1448–1452. DOI: 10.3348/jksr.2019.0194. PMID: 36237704. PMCID: PMC9431837.
7. Baker KS, Tisnado J, Cho SR, Beachley MC. 1987; Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolization. Radiology. 163:135–139. DOI: 10.1148/radiology.163.1.3823426. PMID: 3823426.
8. Guida PM, Moore SW. 1966; Aneurysm of the hepatic artery. Report of five cases with a brief review of the previously reported cases. Surgery. 60:299–310.
9. Pinsky MA, May ES, Taxier MS, Blackford J. 1987; Late manifestation of hepatic artery pseudoaneurysm: case presentation and review. Am J Gastroenterol. 82:467–469.
10. Gopanpallikar A, Rathi P, Sawant P, Gupta R, Dhadphale S, Deshmukh HL. 1997; Hepatic artery pseudoaneurysm associated with amebic liver abscess presenting as upper GI hemorrhage. Am J Gastroenterol. 92:1391–1393.
11. Kaur M, Bhatia H, Muktesh G, Gupta P. 2021; Hepatic artery pseudoaneurysm secondary to a cholangitic abscess and its spontaneous thrombosis. BMJ Case Rep. 14:e247304. DOI: 10.1136/bcr-2021-247304. PMID: 34772687. PMCID: PMC8593705.
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