A CASE OF RUPTURE OF A HEPATIC ARTERY ANEURYSM

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 61; no. 6; pp. 1515 - 1519
• Main Authors: YOSHIDA, Noritoshi, KITABATAKE, Toshiaki, IWATA, Toyohito, SUGO, Hiroyuki, OHTA, Syujiro, KOJIMA, Kuniaki, FUKASAWA, Masaki, BEPPU, Tomoe, FUTAGAWA, Syunji
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2000
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.61.1515

We successfully saved a patient with rupture of a hepatic artery aneurysm. A 20-year-old man was brought into hospital by ambulance because of abrupt development of abdominal pain and shock. An abdominal ultrasonogram demonstrated a small mass and intraperitoneal fluid accumulation. Pancture of this space, disclosed pooling of intraperitoneal bleeding. Surgical treatment was performed on emergency, and the rupture of a hepatic artery aneurysm was diagnosed. As it was diffucult to resect the aneurysm, we had sutured that wall and both the gastrodeodenal and common hapatic arteries were ligated proximal to it. The postoperative course was uneventful. Hepatic artery aneurysm is a relatively rare entity. But if the ptient is seen in emergency situations after rupture, the clinical course can be clitical. In the treatment of patients with intraabdominal bleeding of unknown origin, we have to decide the treatment as soon as possible keeping the possibility of the disease in mind.