case_images: PMC7264984_01
case_images: The retrieved metallic shrapnel from the abdominal cavity; 6 x 3 x 2 cm.
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case_images: fig0005
case_images: A 6 cm x 3 cm x 2 cm shrapnel was found anterior to the first part of the duodenum (Fig. 1).
case_images: CECT Abdomen showing the Intra-Hepatic Pseudoaneurysm; IHPA, emerging from a branch of Left Hepatic Artery; LHA. The lower figure shows the IHPA surrounded by the hematoma (within the circle).
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case_images: fig0010
case_images: On the third postoperative day and before shifting the patient to the operating theatre for packs removal, CT of the abdomen was done; showed a 3 cm x 1.8 cm IHPA of the left hepatic artery (Fig. 2).
case_images: Selective celiac angiography shows the IHPA.. LHA: left hepatic artery; CHA: common hepatic artery; GDA: gastroduodenal artery.
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case_images: Hepatic angiography confirmed the presence of the IHPA emerging from a side branch of the left hepatic artery (Fig. 3).
case_images: Post embolization celiac angiography shows complete exclusion of the IHPA by endo-coils.
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case_images: fig0020
case_images: Microcoil embolization of both afferent and efferent loops of the aneurysm was done (Fig. 4).
case_images: TachoSil Sealant Patches adhered well to the underlying hepatic injury, the inlet of the shrapnel.
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case_images: fig0025
case_images: There was mild oozing from the hepatic injury site, which was easily controlled with TachoSil  Fibrin Sealant Patches (Fig. 5).
case_images: CECT Abdomen shows extra luminal leak of oral contrast from stomach to large pocket with air- fluid level in the sub-hepatic region. In the lower figure, the Intrahepatic coils seen in place, with good enhancement of both lobes of the liver.
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case_images: fig0030
case_images: A follow-up CT showed an extra luminal leak of the oral contrast from the stomach with a sizeable subhepatic collection, right-sided hydropneumothorax, and right lung collapse (Fig. 6).
case_images: CT Chest shows the well-formed right sided empyema.
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case_images: As the right-sided pleural effusion had transformed into a well-formed empyema, decortication was performed (Fig. 7).
case_images: CT chest & Abdomen show normal looking both lung and liver parenchyma with no evidence of recurrence of the IHPA.
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case_images: fig0040
case_images: Follow up CT showed normal looking both lung and liver parenchyma with no evidence of recurrence of the IHPA (Fig. 8).
case_images: PMC7264984_02
case_images: CECT abdomen showed the IHPA, marked by dotted circle along with subcapsular hematoma.
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case_images: fig0045
case_images: CT was done after resuscitation, showed a 24 cm x 13 cm x 8.2 cm heterogeneous subcapsular hepatic hematoma and a 1-cm IHPA (Fig. 9).
case_images: The pseudoaneurysm before embolization; upper figure, and after coils embolization; lower figure.
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case_images: fig0050
case_images: The entry and exit points of the aneurysm were successfully embolized with two microcoils (Fig. 10).