Hepatic artery aneurysm causing gastrointestinal haemorrhage – Case report and literature review

Palubinskas, Saulius; Rasmussen, Simon Ladefoged

doi:10.1016/j.ijscr.2017.08.067

Cited by 8 publications

(5 citation statements)

References 43 publications

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“…cholecystitis and pancreatitis), recent trauma, atherosclerosis and upper GI liver or pancreatic surgery. Spontaneous rupture of a pseudoaneurysm of the RHA in the absence of any underlying cause is reported very rarely in the literature [1–3] . RHA aneurysms account for approximately 20% of all visceral aneurysms [1] .…”

Section: Discussionmentioning

confidence: 99%

“…Most commonly such patients present with dull pain, a lump, jaundice and unexplained anaemia indicating sentinel bleeding (defined as a drop in haemoglobin to more than 1.5 g/dl with no signs of haemodynamic instability) [1–3] . CT angiography of the abdomen, focussing on the colic axis and superior mesenteric artery, is the gold standard diagnostic investigation.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment options include endovascular repair using TAE; if this fails, the next option is an emergency laparotomy [2] . The mortality rate is 50–100% in the case of rupture, making early diagnostic work-up crucial [3] .…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Rupture of a Pseudoaneurysm of the Right Hepatic Artery Causing Massive Upper Gastrointestinal Bleeding

Sreh

Bahrin

Farid

et al. 2019

European Journal of Case Reports in Internal Medicine

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We describe the case of an 84-year-old woman who presented with right lower chest pain, anaemia and newly deranged liver function which was followed by massive upper gastrointestinal (GI) bleeding with no source of bleeding found on upper GI endoscopy. CT angiography of the GI tract confirmed rupture of a pseudoaneurysm of the right hepatic artery (RHA) that was treated successfully with trans-arterial embolization of the RHA.LEARNING POINTSIf upper gastrointestinal (GI) endoscopy fails to identify the source of upper GI bleeding, CT angiography is required to search for rare causes such as pseudoaneurysm of the right hepatic artery (RHA) with fistula formation with the GI and biliary tract, along with other causes such as aorto-enteric fistula.Pseudoaneurysm of the RHA is commonly secondary to recent surgery or trauma and spontaneous occurrence is very rare.Endovascular repair using transcatheter arterial embolization is the treatment of choice but if it fails, emergency laparotomy should be considered.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous Rupture of a Pseudoaneurysm of the Right Hepatic Artery Causing Massive Upper Gastrointestinal Bleeding

Sreh

Bahrin

Farid

et al. 2019

European Journal of Case Reports in Internal Medicine

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“…The hepatic artery aneurysm has a significant incidence (20–25%) in the area of visceral artery aneurysms, but a low incidence compared with abdominal aortic aneurysms (0.2–1.0%) [ 1 , 2 ]. Their etiology may be atherosclerotic (about 30% of cases, especially in elderly patients), but other causes have also been described, such as for other visceral aneurysms, related to vasculitis, fibromuscular dysplasia, trauma, iatrogenic causes or infectious [ 3 , 4 , 5 , 6 , 7 ]. The first series reported in the literature dates back to 1908 (Rolland) [ 8 ]: it describes 40 cases of hepatic artery aneurysms, mainly attributable to infectious origins, mostly in young patients.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment for common hepatic aneurysm. Original one-step technique

et al. 2020

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IntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.

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“…Hepatic artery aneurysm (HAA) is the second most common type of visceral aneurysm, following splenic artery aneurysm. The prevalence of HAAs varies from 0.002% [3,4] to 0.4% [4,5] of all arterial aneurysms and from 12% [3] to 20% of splanchnic aneurysms [1,5,6,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

Giant Hepatic Artery Aneurysm

Gossili

2019

Diagnostics

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Hepatic artery aneurysm (HAA) is the second most common type of visceral aneurysm. Giant HAAs (larger than 5 cm) are very rare. We present a case of an asymptomatic giant hepatic artery aneurysm (diameter 10.7 cm) discovered as an incidental finding on an 18F-fludeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scan of a patient admitted for pretreatment staging of urothelial carcinoma.

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Hepatic artery aneurysm causing gastrointestinal haemorrhage – Case report and literature review

Cited by 8 publications

References 43 publications

Spontaneous Rupture of a Pseudoaneurysm of the Right Hepatic Artery Causing Massive Upper Gastrointestinal Bleeding

Spontaneous Rupture of a Pseudoaneurysm of the Right Hepatic Artery Causing Massive Upper Gastrointestinal Bleeding

Surgical treatment for common hepatic aneurysm. Original one-step technique

Giant Hepatic Artery Aneurysm

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