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Lookup NU author(s): Rakesh Rai,
Dr John Rose,
Professor Derek Manas
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Arterio-biliary fistula is an uncommon cause of haemobilia. We describe a case of right hepatic artery pseudo-aneurysm causing arterio-biliary fistula and presenting as severe melaena and cholangitis. Gastroduodenoscopy failed to establish the exact source of bleeding and hepatic artery angiography and selective embolization of the pseudo-aneurysm successfully controlled the bleeding. Pseudo-aneurysm of the hepatic artery is mostly iatrogenic due to biliary intervention, as demonstrated in this case. Difficulty in diagnosis and management is discussed together with a review of the literature. (C) 2003 Lippincott Williams Wilkins.
Author(s): Rai R, Rose J, Manas D
Publication type: Article
Publication status: Published
Journal: European Journal of Gastroenterology and Hepatology
ISSN (print): 0954-691X
ISSN (electronic): 1473-5687
Publisher: Lippincott Williams & Wilkins
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