PMC3902557_01
Preopertive imaging
JMAS-10-37-g001.jpg
PMC3902557_01_JMAS-10-37-g001.jpg
F1
Abdominal ultrasound followed by computed tomographic (CT) angiography with vascular reconstruction revealed intraperitoneal blood, mainly in Gallbladder fossa, with active bleed (contrast blush) from right posterior sectoral artery pseudo aneurysm [Figure 1].
Intraoperative pictures
JMAS-10-37-g002.jpg
PMC3902557_01_JMAS-10-37-g002.jpg
F2
It was now possible to clearly identify the right hepatic artery and the sectoral artery stump and intracorporeally suture ligate the offending artery stump at the base taking some peri-arterial tissue to prevent slipping of the suture [Figure 2].