Life-threatening liver laceration with arterial hemorrhage complicating percutaneous treatment of hepatic hydatid cyst
Loutfi, S.I.; Arabi, M.S.; Safadi, B.Y.; Haddad, M.C.
Le Journal Medical Libanais. Lebanese Medical Journal 56(3): 185-188
2008
ISSN/ISBN: 0023-9852 PMID: 18792557 Document Number: 619382
We present a 76-year-old woman known to have a large right hepatic lobe hydatid cyst which recurred twice after surgical excision. CT-guided percutaneous alcohol ablation was conducted to sclerose the cyst, but the procedure was complicated by parenchymal liver laceration and active arterial hemorrhage from a branch of the right hepatic artery. Bleeding was controlled by both endovascular and surgical interventions. Liver laceration with arterial hemorrhage is a rare not previously reported serious complication of percutaneous treatment of hepatic hydatid cyst that may be potentially life-threatening.