Background: Hepatic artery pseudoaneurysm (HAP) is an unusually rare vascular complication following laparoscopic procedures with a few yet gradually increasing incidences.
Case Presentation: We report a case of a 63-year-old male with distal right HAP-mediated massive gastrointestinal bleeding after a successful laparoscopic cholecystectomy. He was treated successfully with selective endovascular coil embolization and percutaneous thrombin administration.
Conclusion: The risk of rupture and bleeding from HAP can be a potentially life-threatening scenario and needs prompt diagnosis with emergent intervention. The documentation of this case may be useful for practicing surgeons to be cautious about the possibility of pseudoaneurysmal changes during the post-operative period.
Key words: Case report, HAP, pseudoaneurysm, laparoscopic cholecystectomy, DSA, angiography, embolization.
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