case_images: PMC9870307_01
case_images: Preoperative abdominal computed tomography showing abnormal density shadows in the right hepatic lobe with possible hemorrhage.
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case_images: PMC9870307_01_fmed-09-1048763-g001.jpg
case_images: F1
case_images: Immediately thereafter, we performed an abdominal CT, which revealed abnormal density shadows in the right hepatic lobe with possible hemorrhage (Figure 1).
case_images: Arteriography. (A) Selective arteriography of the hepatic artery showing a sac-like pseudoaneurysm. (B) Angiographic embolization of the right hepatic artery showing the pseudoaneurysm disappeared.
case_images: fmed-09-1048763-g002.jpg
case_images: PMC9870307_01_fmed-09-1048763-g002.jpg
case_images: F2
case_images: All these findings together with the history of laparoscopic hepatic rupture repair prompted the suspicion of HAP rupture, which was further confirmed by the presence of a sac-like pseudoaneurysm beginning from the front branch of the right hepatic artery on selective hepatic artery arteriography (Figure 2A). Repeat arteriography showed that the pseudoaneurysm disappeared (Figure 2B).
case_images: Abdominal contrast-enhanced computed tomography at discharge showing the pseudoaneurysm disappeared and the hyper-density coil (blue arrow). (A) Horizontal plane. (B) Coronal plane.
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case_images: PMC9870307_01_fmed-09-1048763-g003.jpg
case_images: F3
case_images: An abdominal contrast-enhanced CT (CECT) showed no enhanced pseudoaneurysm when he was discharged (Figure 3).