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 Indian J Med Microbiol  
 

Figure 1 (A-H): A 49-year-old female patient, post hepaticojejunostomy presented with prehepatic collection, fever and elevated total white cell count on day 5. Case describes CAs from both middle and left hepatic arteries. (A) Arterial phase contrast enhanced CT scan, oblique coronal MIP image showing two small mycotic pseudoaneurysms in (white arrow) right hepatic artery. Small biliary collection was also noted. (B and C) Celiac angiography digital image post embolization of right hepatic artery (by cardiologist because of non-availability of Interventional radiologist) showing single coil (black arrow) in RHA with non opacification of pseudoaneurysms and intrahepatic arterial arcades communicating between right and accessory RHA (Black arrows). Pigtail catheter placed in view to drain the collection caused rupture of pseudoaneurysm. (D) Arterial phase contrast enhanced CT scan done post embolization day 2 revealed thrombosed pseudoaneurysm and distally migrated crumpled coil (arrow) near RHA bifurcation. Arrow head shows HepJ anastomotic bowel staple suture (E) Arterial phase contrast enhanced CT scan done post embolization on post op day 17, MIP image shows reperfusion of pseudoaneurysms (arrows) with increase in size of postero-medial pseudoaneurysm. (F) Digital right hepatic artery angiogram showing migrated coil and two pseudoaneurysms (arrow). (G) Post RHA coiling digital angiogram of MHA showing multiple intrahepatic arterial arcades (small black arrows) feeding distal right hepatic artery. (H) Post MHA coiling, celiac axis digital angiogram showing patent left HA (black arrow) and GDA

Figure 1 (A-H): A 49-year-old female patient, post hepaticojejunostomy presented with prehepatic collection, fever and elevated total white cell count on day 5. Case describes CAs from both middle and left hepatic arteries. (A) Arterial phase contrast enhanced CT scan, oblique coronal MIP image showing two small mycotic pseudoaneurysms in (white arrow) right hepatic artery. Small biliary collection was also noted. (B and C) Celiac angiography digital image post embolization of right hepatic artery (by cardiologist because of non-availability of Interventional radiologist) showing single coil (black arrow) in RHA with non opacification of pseudoaneurysms and intrahepatic arterial arcades communicating between right and accessory RHA (Black arrows). Pigtail catheter placed in view to drain the collection caused rupture of pseudoaneurysm. (D) Arterial phase contrast enhanced CT scan done post embolization day 2 revealed thrombosed pseudoaneurysm and distally migrated crumpled coil (arrow) near RHA bifurcation. Arrow head shows HepJ anastomotic bowel staple suture (E) Arterial phase contrast enhanced CT scan done post embolization on post op day 17, MIP image shows reperfusion of pseudoaneurysms (arrows) with increase in size of postero-medial pseudoaneurysm. (F) Digital right hepatic artery angiogram showing migrated coil and two pseudoaneurysms (arrow). (G) Post RHA coiling digital angiogram of MHA showing multiple intrahepatic arterial arcades (small black arrows) feeding distal right hepatic artery. (H) Post MHA coiling, celiac axis digital angiogram showing patent left HA (black arrow) and GDA