Hepatic Artery Pseudoaneurysm Following Gunshot Injury With Early Rupture

Ahmed, Mohamed A.; Elkahly, Mohamed; Dada, Stephen; Mahmoud, Ahmed; Chin, Michael C.

doi:10.7759/cureus.15866

Cited by 4 publications

(13 citation statements)

References 20 publications

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“…Риск развития ПА при травме печени составляет 1,0-6,1 %, при ятрогенных повреждениях 3-7 % [4,6,11,13]. Считается, что встречаемость этого осложнения возрастает при тяжелых повреждениях печени, чаще при III-IV степени по классификации AAST [5,6]. Однако L. Qsteballe и др.…”

Section: клинические наблюдения и краткие сообщенияunclassified

“…Большинство ПА протекают бессимптомно и выявляются при динамическом наблюдении за пациентом с травмой или при обследовании по поводу других заболеваний [2,4,8]. Разрыв внепеченочной аневризмы сопровождается внутрибрюшным кровотечением [5]. Повреждение внутрипеченочной аневризмы в 22 % случаев проявляется триадой Quinke, а именно болью в эпигастрии, желтухой и кровотечением из верхних отделов желудочно-кишечного тракта (ЖКТ) [11,12].…”

Section: клинические наблюдения и краткие сообщенияunclassified

“…Симптомы, характерные для кровотечения из верхних отделов ЖКТ, -тошнота, рвота кровью или «кофейной гущей», мелена, при обильном кровотечении -выделение алой крови из прямой кишки, гемодинамическая нестабильность. Они могут встречаться изолированно у 42 % больных [5,8,12].…”

Section: клинические наблюдения и краткие сообщенияunclassified

“…Посттравматическая ПА печеночной артерии считается отсроченным осложнением [10,11], которое может развиться в сроки от дней до месяцев после происшествия с медианой 6,5 дня [5]. Указания на ранние, в течение до 24 часов, сроки клинических проявлений ПА в литературе практически не встречаются.…”

Section: клинические наблюдения и краткие сообщенияunclassified

“…Данные о повреждении ПА в литературе вариабельны -разрыв происходит от 21 до 80 % случаев, смертность при этом достигает 9-100 % [2,[5][6][7][8].…”

Section: клинические наблюдения и краткие сообщенияunclassified

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Post-traumatic Pseudoaneurysm of Hepatic Artery (Case Report and Literature Review)

Vinogradova

Romanova²

2023

jour

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Pseudoaneurysm (PA) of the hepatic artery is a rare complication of abdominal trauma, iatrogenic injuries (biopsy, endoscopic cholecystectomy, liver transplantation), infections, tumors, vasculitis, acute and chronic pancreatitis. This case report presents a life-threatening complications in a patient who underwent surgery for liver lesion. Due to the use of CT angiography, it was possible to determine the cause of bleeding from the upper gastrointestinal tract, evaluation the localization of pseudoaneurysm and treated with elective management.

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Section: клинические наблюдения и краткие сообщенияunclassified

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Post-traumatic Pseudoaneurysm of Hepatic Artery (Case Report and Literature Review)

Vinogradova

Romanova²

2023

jour

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Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report

Sugi,

Maruyama,

Nozaki

et al. 2023

surg case rep

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Background Hepatic pseudoaneurysm (HPA) is a rare complication that can occur after liver trauma and carries a high risk of rupture. HPA is usually asymptomatic until rupture, so performing routine surveillance of liver trauma patients is important. Most posttraumatic HPA occurs within the first week after injury, so surveillance imaging ~ 7 days postinjury is suggested. Case presentation We herein report a 47-year-old man who was diagnosed with asymptomatic HPA 25 days after a knife injury. The patient was transferred to the emergency room after attempting suicide by stabbing himself in his abdomen with a knife. The knife was surgically removed, and the postoperative course was uneventful. Computed tomography (CT) on postoperative day (POD) 12 showed no HPA. However, follow-up CT on POD 25 revealed HPA. The HPA was treated with coil embolization. The patient was discharged with no complications. One year after the injury, the patient had no recurrence or medical problems. Conclusion When managing patients with penetrating liver trauma, it is important to note that HPA may not be identifiable on CT early after injury but may still develop later.

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Severe Blunt Liver Injury Complicated by Delayed Massive Hemobilia in a Toddler: A Case Report and Literature Review

Liu

Sun

et al. 2022

Front. Surg.

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IntroductionUnintentional injuries remain a leading cause of disability among children. Although most of the pediatric patients suffering blunt liver injury can be successfully treated with non-operative therapy, the diagnosis and management of delayed life-threatening hemobilia following severe blunt liver injury, especially in the pediatric population, remain a challenge for clinicians.Case PresentationA previously healthy 2-year-old girl suffered a severe blunt liver injury related to an electric bike, which was inadvertently activated by herself. She initially received non-operative therapy and was in a stable condition in the first 2 weeks. On the 16th and 22nd postinjury days, the patient presented with life-threatening massive hemobilia, which was confirmed via repeat emergent gastroscopy and hepatic arterial angiography. An emergency selective transarterial embolization of the involved branch of the left hepatic artery was successfully performed. The patient recovered uneventfully, and long-term follow-up was needed owing to a mild dilatation of the left intrahepatic bile duct.DiscussionIncidental injury in children should be considered as a major public health issue and preventive measures should be taken to reduce its occurrence. Delayed massive hemobilia after severe blunt liver trauma is rare, and its accurate and timely diagnosis via emergency hepatic arterial angiography and selective angioembolization may allow prompt and optimal management to achieve good outcomes in the pediatric population.

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Hepatic Artery Pseudoaneurysm Following Gunshot Injury With Early Rupture

Cited by 4 publications

References 20 publications

Post-traumatic Pseudoaneurysm of Hepatic Artery (Case Report and Literature Review)

Post-traumatic Pseudoaneurysm of Hepatic Artery (Case Report and Literature Review)

Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report

Severe Blunt Liver Injury Complicated by Delayed Massive Hemobilia in a Toddler: A Case Report and Literature Review

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