Gastrointestinal Bleeding Because of Hepatic Arteriobiliary Fistula

Abstract

ABSTRACT Hepatic artery aneurysms are a rare phenomenon, representing 20% of visceral aneurysms. Hepatic artery aneurysm can rarely cause fistulization with the bile duct, also known as common hepatic artery-bile duct fistula. In acute settings, patients present with abdominal pain, jaundice, and gastrointestinal bleeding. Radiographic findings confirm the diagnosis. Given the rarity of this condition, there are no optimal treatment guidelines; therefore, treatment is multidisciplinary and involves definitive surgical and endoscopic management. We present a case of a common hepatic artery-bile duct fistula presenting as gastrointestinal hemorrhage.