PSEUDOANEURYSM to BILIARY TREE POST CHOLECYSTECTOMY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 44 YO WOMAN, ONE MONTH AFTER ENDOSCOPIC CHOLECYSTECTOMY BY STONE GALLBLADDER, GOT EPIGASTRIC PAIN AND HEMATEMESIS.

ULTRASOUND LIVER SHOWED AN ECHOGENIC DILATATION OF CBD AND  LOOK LIKE STONE, OR BLOOD CLOT (FIG. 1)

FIG 2: ONE MASS  OF 1 cm WITH  YINYANG SIGN IN COLOR DOPPLER IMAGING

FIG.3: ARTERIAL SPECTRAL PATTERN FLOW.

RECORDING OF A-V FLOW REVEALED A PSEUDOANEURYSM POST CHOLECYSTECTOMY.

MSCT Angio : CONFIRMING  A PSEUDOANEURYSM to BILIARY TREE