Immunoglobulin G4-related hepatic artery aneurysm

A 49-year-old man who was a current smoker with a history of hypertension, dyslipidemia, and coronary artery disease after coronary stent placement presented because of abdominal and back pain. Contrast-enhanced computed tomography showed a 30-mm, large hepatic artery aneurysm. Resection of the aneu...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 10; no. 1; p. 101377
Main Authors Kasa, Kentaro, Ohki, Takao, Ito, Eisaku, Fukasawa, Nei, Shukuzawa, Kota, Shimoda, Masayuki
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2024
Elsevier
Subjects
Case report
Hepatic artery aneurysm
Immunoglobulin G4-related disease
Visceral artery aneurysm
Hepatic artery aneurysm
Visceral artery aneurysm
Immunoglobulin G4-related disease
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Summary:A 49-year-old man who was a current smoker with a history of hypertension, dyslipidemia, and coronary artery disease after coronary stent placement presented because of abdominal and back pain. Contrast-enhanced computed tomography showed a 30-mm, large hepatic artery aneurysm. Resection of the aneurysm and autogenous vein bypass grafting was performed, which resulted in a successful outcome without any complications. Pathologic examination of the aneurysm confirmed that it was related to immunoglobulin G4 (IgG4). The patient's serum IgG4 level was within the normal range, and no other signs of IgG4-related organ lesions were observed.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101377