{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T01:27:06Z","timestamp":1786757226090,"version":"build-2736575974"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bile duct injuries (BDI) after cholecystectomy often coexist with vascular injuries, but hepatic artery pseudoaneurysms may be missed on initial imaging. We report a right hepatic artery (RHA) pseudoaneurysm that manifested as haemobilia only after biliary decompression by Roux-en-Y hepaticojejunostomy for a Strasberg type E3 injury. A 28-year-old man presented 4 weeks after open cholecystectomy with obstructive jaundice. Magnetic resonance imaging confirmed a Strasberg type E3 stricture and identified a missed 8-mm RHA pseudoaneurysm. Following hepaticojejunostomy, haematemesis occurred on postoperative day 3. Computed tomography angiography demonstrated enlargement of the pseudoaneurysm to 12-mm with arteriobiliary communication. Covered stenting was followed by recurrent bleeding requiring glue\u2013lipiodol embolization, complicated by non-target splenic embolization and an abscess requiring percutaneous drainage. The patient recovered and remained asymptomatic at three months. This case suggests that relief of biliary hypertension can unmask contained pseudoaneurysms and reinforces the importance of routine preoperative arterial-phase imaging in complex BDI.<\/jats:p>","DOI":"10.1093\/jscr\/rjag717","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T11:49:41Z","timestamp":1785930581000},"source":"Crossref","is-referenced-by-count":0,"title":["Unmasking of a missed right hepatic artery pseudoaneurysm by biliary decompression following Roux-en-Y hepaticojejunostomy for Strasberg type E3 bile duct injury"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3693-3362","authenticated-orcid":false,"given":"Kumar","family":"Kaushik","sequence":"first","affiliation":[{"name":"Department of General Surgery, Rohilkhand Medical College and Hospital , Pilibhit Bypass Road (Pawan Vihar \/ Mahanagar area), Bareilly District, Bareilly 243006, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit","family":"Gambhir","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Rohilkhand Medical College and Hospital , Pilibhit Bypass Road (Pawan Vihar \/ Mahanagar area), Bareilly District, Bareilly 243006, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Om Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Rohilkhand Medical College and Hospital , Pilibhit Bypass Road (Pawan Vihar \/ Mahanagar area), Bareilly District, Bareilly 243006, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aishwarya","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Rohilkhand Medical College and Hospital , Pilibhit Bypass Road (Pawan Vihar \/ Mahanagar area), Bareilly District, Bareilly 243006, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of General Surgery (GI Surgery Unit), Rohilkhand Medical College and Hospital , Pilibhit Bypass Road (Pawan Vihar \/ Mahanagar area), Bareilly District, Bareilly 243006, Uttar Pradesh ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"2026081420461430200_ref1","first-page":"e53507","article-title":"Optimal timing of surgical repair after bile duct injury: a systematic review and meta-analysis","volume":"16","author":"Manivasagam","year":"2024","journal-title":"Cureus"},{"key":"2026081420461430200_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1477-2574.2010.00225.x","article-title":"An analytical review of vasculobiliary injury in laparoscopic and open 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embolotherapy: techniques, complications, and management","volume":"24","author":"Hill","year":"2018","journal-title":"Diagn Interv Radiol"},{"key":"2026081420461430200_ref13","doi-asserted-by":"crossref","first-page":"6069179","DOI":"10.1155\/2019\/6069179","article-title":"Management of splenic abscess after splenic arterial embolization in severe acute pancreatitis: a 5-year single-center experience","volume":"2019","author":"Li","year":"2019","journal-title":"Gastroenterol Res Pract"},{"key":"2026081420461430200_ref14","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1055\/s-0041-1731369","article-title":"The role of the interventional radiologist in bile leak diagnosis and management","volume":"38","author":"Zhu","year":"2021","journal-title":"Semin Intervent Radiol"}],"container-title":["Journal of Surgical Case 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