Post-traumatic hepatic artery pseudo-aneurysm combined with subphrenic liver abscess treated with embolization

Sun, Long; Guan, Yong-Song; Wu, Hua; Pan, Weimin; Xiao, Li; He, Qing; Liu, Yuan

doi:10.3748/wjg.v12.i17.2798

Cited by 10 publications

(13 citation statements)

References 7 publications

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“…Hepatic artery pseudoaneurysm (HAP) is a rare complication of liver injuries following blunt abdominal trauma (1)(2)(3). HAP rupture is the most dangerous and fatal obstacle, which usually presents itself as vague abdominal discomfort, gastrointestinal bleeding, and hemobilia (4)(5)(6).…”

Section: Introductionmentioning

confidence: 99%

Intrahepatic Artery Pseudoaneurysm as a Delayed Presentation of Blunt Abdominal Trauma

Sanei¹,

Kolahdouzan²,

Jafari³

2017

Arch Trauma Res

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Arterial pseudoaneurysm is an uncommon life-threatening complication in blunt trauma patients. Blunt liver injury may lead to hepatic artery pseudoaneurysm. Radiological intervention is the method of choice in diagnosis and treatment of hepatic artery pseudoaneurysm. However, surgical intervention is advised for unstable patients with large leaking defects. This study reports a case of 53-year-old female who was admitted with vague abdominal pain. She had experienced a blunt abdominal trauma a year ago and had gone under liver packing procedure. The CT-scan results showed hematoma in RUQ region and leaking pseudoaneurysm of right hepatic artery. Hematoma was drained and partial liver resection and hepatic arterioraphy were done through laparotomy.

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Section: Introductionmentioning

confidence: 99%

Intrahepatic Artery Pseudoaneurysm as a Delayed Presentation of Blunt Abdominal Trauma

Sanei¹,

Kolahdouzan²,

Jafari³

2017

Arch Trauma Res

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“…Les étiologies sont dominées par les traumatismes accidentels et surtout iatrogènes comme le cas de notre patiente et se développent suite à des interventions sur le foie ou l'estomac par coeliochirurgie ou chirurgie à ciel ouvert [2,3]. D'autres causes ont été rapportées, notamment la transplantation hépatique [4].…”

Section: Discussionunclassified

“…Elle est variée en fonction de chaque cas clinique, et la chirurgie a été supplantée par la radiologie interventionnelle en réalisant une embolisation de l'artère nourricière de part et d'autre du faux anévrisme [1][2][3] ou par pose de stent [7]. Par contre, la chirurgie reste indiquée dans certains cas difficiles ou en situation d'urgence comme dans notre cas.…”

Section: Discussionunclassified

Une hématémèse révélant un faux anévrisme de l’artère hépatique

Acharki¹,

Salihoun²,

Lahlou

et al. 2009

J Afr Hepato Gastroenterol

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Le faux anévrisme de l'artère hépatique (AH) est une pathologie rare et grave. D'évolution potentiellement mortelle, il emprunte une symptomatologie clinique non spécifique. L'intérêt de cette observation est de rapporter un mode exceptionnel de révélation d'un faux anévrisme par hémorragie digestive haute, suite à une fistule communiquant le faux anévrisme et le duodénum. Mots clés Faux anévrisme de l'artère hépatique · Hémorragie digestiveAbstract The false aneurysm of the hepatic artery (HA) is a rare and severe. A potentially fatal. It follows a non-specific clinical symptoms. The significance of this observation is to bring a unique mode of revelation of a false aneurysm by upper gastrointestinal bleeding due to a fistula communicating the false aneurysm and the duodenum.

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“…If the portal circulation is preserved, majority of the hepatic arteries could be closed. However, too much aggressive, non-selective embolization is associated with the risk of intrahepatic necrosis or abscess [15]. The large pseudoaneurysm with wide neck and quick blood flow rate makes using some of the embolization materials like Gelaspon particles, autologous coagula, PAV particles or Histoacryl ineffective and risky because of potential penetration of the embolization material into the peripheral hepatic arteries [4].…”

Section: Discussionmentioning

confidence: 99%

“…It also depends on whether the pseudoaneurysm sac occurs or not. The embolization should be performed as selective as possible in order to minimize the risk of ischemia and retrograde filling the pseudoaneurysm from distal collaterals [4,15]. If the portal circulation is preserved, majority of the hepatic arteries could be closed.…”

Section: Discussionmentioning

confidence: 99%

Embolization of Post-Traumatic Pseudoaneurysm of the Proper Hepatic Artery

Marek¹

2012

Surgery Curr Res

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38-year old, drunken man had fell from the window and was admited to the hospital with multiple limb fractures and suspicion of traumatic liver injury. Post-contrast CT examination proved the pseudoaneurysm arising caudally from the proper hepatic artery. The indicated angiography should specify location and character of the pseudoaneurysm and allow its subsequent embolization. After placing the catheter tip into its neck the pseudoaneurysm was successfully closed by metal coils and mixture of tissue glue (Histoacryl) and contrast medium (Lipiodol Ultrafluid).

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Post-traumatic hepatic artery pseudo-aneurysm combined with subphrenic liver abscess treated with embolization

Cited by 10 publications

References 7 publications

Intrahepatic Artery Pseudoaneurysm as a Delayed Presentation of Blunt Abdominal Trauma

Intrahepatic Artery Pseudoaneurysm as a Delayed Presentation of Blunt Abdominal Trauma

Une hématémèse révélant un faux anévrisme de l’artère hépatique

Embolization of Post-Traumatic Pseudoaneurysm of the Proper Hepatic Artery

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