[ XXXX of an intrahepatic aneurysme: radiological and surgical treatments].

@entity1 @entity548 @entity1409 @entity439 @entity1756
@entity1409 of intrahepatic @entity439 is a rare life threatening condition because of the risk of @entity1409 . A 33 year old female @entity1 presented with @entity548 . Angio-CT-scan revealed an intrahepatic @entity1756 with a massive central and subcapsular haematoma of the liver. Percutaneous embolisation under ultrasound control was not possible because of the size of the subcapsular haematoma. Angiography showed a main arterial supply of this @entity439 from the anterior sectorial branch of the right branch of hepatic artery and selective embolisation was not possible because of anatomical configuration. Because of persistent @entity548 , surgery was performed with evacuation of liver haematoma and a highly selective ligature of the main aneurysmal arterial supply. Post-operative angio-CT-scan showed revascularisation of the @entity439 through retrograde intrahepatic arterial supply. Ultrasound identification of the @entity439 was then possible and percutaneous embolisation was performed successfully. Intrahepatic @entity439 are usually treated by interventional radiological procedure. In case of failure, surgery should be considered. This case was original because it associated a combined therapeutic treatment pointing out the importance of multidisciplinary approach.
