Hepatic Artery Pseudoaneurysm; Simple or Difficult to Diagnose?

Ruptured hepatic artery pseudoaneurysm (HAP) generally leads to the hemobilia and can be diagnosed by endoscopy. This condition mostly occurs after an iatrogenic trauma. The management of the HAP is still a big challenge. Due to an increased rate of HAP cases over the last decade, appropriate manage...

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Bibliographic Details
Published inArchives of Iranian medicine Vol. 19; no. 7; p. 521
Main Authors Bashiri, Kiandokht, Roushan, Nader, Hamidian, Seyyed Mohammadtaghi
Format Journal Article
LanguageEnglish
Published Iran 01.07.2016
Subjects
Abdominal Pain - etiology
Aneurysm, False - diagnostic imaging
Aneurysm, False - therapy
Angiography
Embolization, Therapeutic - methods
Female
Gastrointestinal Hemorrhage - etiology
Hemobilia - complications
Hepatic Artery - diagnostic imaging
Humans
Middle Aged
Tomography, X-Ray Computed
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Summary:Ruptured hepatic artery pseudoaneurysm (HAP) generally leads to the hemobilia and can be diagnosed by endoscopy. This condition mostly occurs after an iatrogenic trauma. The management of the HAP is still a big challenge. Due to an increased rate of HAP cases over the last decade, appropriate management is necessary for the optimal outcomes achievement. Here, we report a 59-year-old woman presenting with hematemesis, melena, hematochezia, and epigastric pain. The CT scan of the abdomen showed intrahepatic biliay dilation with hypodense material, probably a clot inside it. Subsequently, the patient was transferred to an angiography unit. Celiac artery angiography demonstrated a right hepatic artery pseudoaneurysm, which subsequently embolized.
ISSN:1735-3947