Medero M, Lineaweaver W, Clore F, Rumley T
South Med J. 1984 Dec;77(12):1596-8. doi: 10.1097/00007611-198412000-00033.
An intrahepatic hepatic artery aneurysm with massive hemobilia was successfully obliterated by intraoperative ligation of a branch of the right hepatic artery. Subsequent CT studies showed a large area of intrahepatic necrosis that was well tolerated, but was eventually manifested as a biliary-cutaneous fistula. Our patient's benign course argues that management of segmental hepatic necrosis can be tailored to the clinical response.