PMC6462797_01
Conventional celiac artery angiogram showing the cystic artery pseudoaneurysm[yellow arrow].
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On conventional hepatic arteriogram, a leaking cystic artery pseudoaneurysm was identified (Fig. 1).
Conventional celiac artery angiography and coiling of cystic artery pseudoaneurysm and right hepatic artery and coil migration into left hepatic artery followed by stenting of the left hepatic artery[yellow arrow].
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LHA stenting was performed, with good flow of contrast across the stent (Fig. 2).
Percutaneous transhepatic cholangiogram showing the Roux-en-y hepaticojejunostomy anastomotic stricture.
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Fourteen months after surgery, cholangiogram revealed a worsening of RYHJ stricture (Fig. 3).
Conventional celiac artery angiogram showing collaterals[red arrows] from the proper hepatic artery, inferior phrenic artery and along the hepatoduodenal ligament.
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Multiple collaterals were seen arising from the right inferior phrenic artery, retroperitoneum and along the hepatoduodenal ligament (Fig. 4).