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Recurrent Bleeding From a Hepatic Artery Pseudoaneurysm After Successful Transarterial Embolization

Transcatheter arterial embolization (TAE) is a well-established technique used in severe liver trauma both as a primary definitive method of hemorrhage control and as an adjunct to operative management where there is ongoing bleeding not optimally controlled with surgery. Delayed hepatic artery pseudoaneurysm (HPA) is a well- described complication of hepatic trauma and surgery and can usually be expeditiously managed with TAE without the need for operative intervention. Recurrent bleeding from a HPA after successful TAE, however, is an extremely rare occurrence. We describe a patient with a recurrent HPA at the site of the previous TAE where repeat TAE was not possible. A