58-year-old male with a pseudoaneurysm caused by PTBD that was treated with coil embolization. This patient had a history of ampullary carcinoma for which he underwent Whipple procedure complicated by bile leak at the choledochojejunostomy site. PTBD was placed with multiple subsequent episodes of hemobilia, which were initially treated with tube upsizing. (A) Angiogram 3 weeks after initial drain placement with drain removed over a wire showed a large pseudoaneurysm (curved black arrow) arising from the left hepatic artery. (B) Coils were placed distal (straight black arrow) and proximal (curved white arrow) to the pseudoaneurysm using a microcatheter (dashed white arrow). The hemobilia was successfully stopped.