Hepatic Artery Aneurysm With Rupture Into General Peritoneal Cavity

Payne, J. E.; Kemmerer, William T.

doi:10.1097/00005373-196709000-00016

Cited by 10 publications

(9 citation statements)

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“…Following rupture, the blood can enter the peritoneal cavity, retroperitoneum, into the common duct, gall bladder, duodenum or portal vein. Bleeding from T‐tubes or other drains has been reported, as have cases in which rupture has occurred into the portal vein with secondary portal hypertension and variceal bleeding 13–15 …”

Section: Discussionmentioning

confidence: 99%

“…Bleeding from T-tubes or other drains has been reported, as have cases in which rupture has occurred into the portal vein with secondary portal hypertension and variceal bleeding. [13][14][15] Diagnosis of hepatic aneurysm or pseudoaneurysm can be made from dynamic CT scans or even MRI. 16,17 Colour Doppler ultrasound has also been used and holds great promise.…”

Section: Discussionmentioning

confidence: 99%

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Embolization of proper hepatic artery pseudoaneurysm complicating choledochoscopic laser therapy

Au-Yeung

Chan

2001

Australasian Radiology

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Biliary papillomatosis is a rare disease characterized by multiple papillary proliferation of the epithelial cell of the bile duct. Because it has a tendency to be recurrent, the treatment strategy is choledochoscopic laser therapy. A patient with biliary papillomatosis treated by choledochoscopic laser therapy, which was complicated by massive haemobilia and shock, is presented. An intrahepatic artery pseudoaneurysm was diagnosed on angiography. A coexisting occlusion necessitated a superselective embolization of the pseudoaneurysm in order to avoid devascularization of the left lobe of the liver.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Embolization of proper hepatic artery pseudoaneurysm complicating choledochoscopic laser therapy

Au-Yeung

Chan

2001

Australasian Radiology

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“…20 More recently, transcatheter arterial embolization has become the preferred treatment, with operative intervention reserved for treatment failures. 18,19 Because the liver is perfused by both the portal vein (70%) and hepatic artery (30%), arterial embolization does have a small risk of hepatic ischemia or even infarction.…”

Section: Fig 3 Repeat Contrast-enhanced Ct Scan Demonstrates Considmentioning

confidence: 99%

“…Late development of this complication can be detected with duplex ultrasonography. The combination of percutaneous thrombin injection and transcatheter 13 1999 12 blunt Hepatic lobectomy Sidhu et al 14 1999 5 blunt Arterial embolization 12 penetrating Arterial embolization Gow et al 15 1996 10 blunt Laparotomy, repair not specified 7 blunt Arterial embolization Schwartz et al 16 1993 6 blunt Arterial embolization 18 penetrating Arterial embolization MacGillivray et al 17 1989 14 blunt Arterial Embolization Kadir et al 18 1980 9 blunt Arterial embolization Goldblatt et al 19 1977 17 penetrating Arterial embolization Payne et al 20 1967 18 blunt Hepatic atery ligation BDϭbase deficit; ICU ϭ intensive care unit; LOSϭlength of stay.…”

Section: Fig 3 Repeat Contrast-enhanced Ct Scan Demonstrates Considmentioning

confidence: 99%

Combined Percutaneous and Angiographic Thrombosis of a Traumatic Hepatic Artery Pseudoaneurysm in a Child

Malaisrie

Borge

Glynn

et al. 2005

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…Routine investigations are usually unhelpful; there may be a leucocytosis and serum bilirubin, aspartate transaminase and alkaline phosphate values may be raised. Plain films of the abdomen may occasionally show a calcified rim in the upper abdomen 2. Similarly, contrast studies of the upper gastrointestinal tract may show displace-Fig.…”

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confidence: 98%

Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm.

Kibbler¹,

Cohen²,

Cruicshank³

et al. 1985

Gut

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SUMMARY Hepatic artery aneurysms occur infrequently and are often difficult to diagnose. Non-invasive procedures such as ultrasound or computer assisted tomography have not been considered suitable for definitive diagnosis and angiography is usually required. A patient is described in whom a mycotic hepatic artery aneurysm developed during the course of subacute bacterial endocarditis. The definitive diagnosis was made using computer assisted tomography with intravenous contrast enhancement and angiography was undertaken only as a prelude to transcatheter embolisation. The same technique was used to monitor progress after embolisation precluding the need for follow up angiography. As 80% of patients with hepatic artery aneurysm present for the first time after aneurysm rupture, the mortality associated with this condition is high. More widespread use of intravenous contrast enhanced tomography for abdominal examination in patients with unexplained abdominal pain might result in earlier diagnosis of this condition.Hepatic artery aneurysms occur infrequently and are often difficult to diagnose. In many patients the diagnosis is only made after aneurysm rupture so that only one patient in five with this condition survives even today. Until now angiography has been considered essential for the diagnosis; accurate, non-invasive methods of investigation might allow for earlier diagnosis and intervention. We describe a patient in whom the diagnosis of mycotic aneurysm of the the hepatic artery was made using computer assisted tomography (CAT) with intravenous contrast enhancement obviating the need for diagnostic angiography. The same procedure was used for monitoring the lesion after transcatheter embolisation. was treated with a variety of non-steroidal antiinflammatory agents but with little effect. During this time his general condition deteriorated, he lost 12.7 kg in weight and developed right upper quadrant pain. In May 1983 he was admitted to hospital for further investigation.On examination he was cachectic, his temperature was 38°C and several joints were painful and swollen. He had a collapsing pulse and an early diastolic decrescendo murmur at the left sternal edge together with a diastolic murmur in the mitral area: there were no signs of cardiac failure and the rest of the examination was unremarkable.Initial investigations showed the following: haemoglobin 8-3 g/dl (reference range 13-0-17-5 g/dl), white cell count 10 400x109/l (4-11,OOOx 109/l), ESR 125 mm/h (<17 mm/h), serum bilirubin 4 ,umol/l (0.2 mg/100 ml) [5-17 ,umol; 0-3-1-0 mg/100 ml], aspartate transaminase 74 U/l

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Hepatic Artery Aneurysm With Rupture Into General Peritoneal Cavity

Cited by 10 publications

References 0 publications

Embolization of proper hepatic artery pseudoaneurysm complicating choledochoscopic laser therapy

Embolization of proper hepatic artery pseudoaneurysm complicating choledochoscopic laser therapy

Combined Percutaneous and Angiographic Thrombosis of a Traumatic Hepatic Artery Pseudoaneurysm in a Child

Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm.

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