PMC9553510_01
MRCP showing bismuth type II biliary stricture with tapering of bile ducts below the confluence.
CRIS2022-5370722.001.jpg
PMC9553510_01_CRIS2022-5370722.001.jpg
fig1
He was then planned for magnetic resonance cholangiopancreatography (MRCP) which revealed Bismuth type II stricture (Figure 1).
Left hepatic arteries (left HA) to segment II/III arising from proximal part of hepatic artery proper and left hepatic artery to segment IV arising from hepatic artery proper as one of its terminal branch. Contrast filled out-pouching in segment III of left lobe of liver suggestive of pseudoaneurysm.
CRIS2022-5370722.002.jpg
PMC9553510_01_CRIS2022-5370722.002.jpg
fig2
CT angiogram was performed to localize the source of bleeding, finding of which showed pseudoaneurysm of segment III hepatic artery of left lobe of liver (Figure 2).