An Unusual Complication of Aortic Dissection

Hepatic artery aneursyms are rare and are often caused by trauma and following surgical and radiological procedures. We report the imaging findings and management of a case of hepatic artery pseudo aneurysm (HAPA) secondary to extending aortic dissection, presenting with hemobilia and obstructive jaundice HAPA carries high mortality, when it ruptures into the bile duct presenting as hemobilia. When this happens due to dissection of aorta, management becomes challenging. In our patient, HAPA was successfully managed by trans-catheter embolisation of both proximal and distal arteries.

Keywords: Aneurysm, Dissecting, Aorta, Abdominal, Hemobilia, Hepatic Artery, Embolization, Therapeutic