ABSTRACT
Pseudoaneurysms [PSAs] of the hepatic and/or cystic artery are a rare complication following a laparoscopic cholecystectomy [LC]. Generally, PSA cases present with haemobilia several weeks following the procedure. Transarterial embolisation [TAE] is considered the optimal management approach. We report a 70-year-old woman who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with massive hemoperitoneum two weeks after undergoing a LC procedure in another hospital. She was successfully managed using coil TAE. An extensive literature review revealed 101 cases of hepatic or cystic artery PSAs following a LC procedure. Haemobilia was the main presentation [85.1%] and the mean time of postoperative presentation was 36 days. The hepatic artery was involved in most cases [88.1%], followed by the cystic artery [7.9%] and a combination of both [4.0%]. Most cases were managed with TAE [72.3%], with a 94.5% success rate. The overall mortality rate was 2.0%