1. Volume 4, Issue 4, Pages 163-165 (April 2019)
EUS-guided thrombin injection of cystic artery pseudoaneurysm leading to Mirizzi’s syndrome and hemobilia 
Malay Sharma, MD, DM, Piyush Somani, MD, DM, Rahul Talele, MD, DNB, Vikas Kohli, MD, DNB, Tagore Sunkara, MD 
VideoGIE 
Volume 4, Issue 4, Pages (April 2019)
DOI: /j.vgie
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2. Figure 1
Abdominal US view showing pseudoaneurysm, 3.4 cm × 2.4 cm, arising from cystic artery.
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3. Figure 2
CT angiographic view showing pseudoaneurysm of cystic artery. RHA, Right hepatic artery; LHA, left hepatic artery; HAP, hepatic artery proper; CHA, common hepatic artery; GDA, gastroduodenal artery.
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4. Figure 3
Linear EUS from duodenal bulb showing pseudoaneurysm. CBD, Common bile duct.
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5. Figure 4
A stone 1 cm in diameter was seen near the neck of the gallbladder. The wall thickness of the aneurysm was 6 mm, and its internal diameter of the aneurysm was 1.5 cm.
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6. Figure 5
A branch of the hepatic artery seen proceeding toward the neck of the pseudoaneurysm.
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7. Figure 6
Injection of 500 units of human thrombin into the aneurysm with a 22-gauge needle.
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Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

8. Figure 7
ERCP image showing blood clots coming out from papilla, suggestive of hemobilia.
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9. Figure 8
Cholangiogram showing narrowing of CHD. The length of the narrowing was about 3 cm. CHD, Common hepatic duct.
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10. Figure 9
On dissection of the neck of the gallbladder, the thrombosed part of the aneurysm was initially delivered. Subsequently a stone present in neck area was removed.
VideoGIE 2019 4, DOI: ( /j.vgie )
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