Treatment of Six Hepatic Artery Aneurysms

Hepatic Artery Aneurysm. Case report

“…SHICK et al (3) mentioned that 37% of the HAA were treated by means of embolization. In non ruptured cases, the morbidity rate (including cholecystis, bile duct stenosis, transcient hepatic failure, recurrent bleeding) was 18% in the endovascular group and 12% in the surgical group (8,10,19,20). Nevertheless, repair of the hepatic artery is recommended in good risk patients.…”

Ruptured hepatic artery aneurysm presenting as abdominal pain: a case report

“…Known aetiologies include atherosclerosis, mediointimal degeneration, trauma and infection (uncommon since the advent of antibiotics) [3,4]. A significant number are iatrogenic; following biliary procedures or cholecystectomy [3].…”

“…The most common symptom is epigastric or right upper quadrant pain as seen in our patient. Less than a third of patients will present with Quinke’s triad; abdominal pain, jaundice and haemobilia [1,3,4]. Incidental findings are sometimes apparent on abdominal films as rim calcifications [3,4].…”

“…Ultrasound scan may locate the aneurysm and demonstrate blood flow within it. CT scans are useful in demonstrating the nature of the aneurysm, adjacent structures and evidence of rupture [4]. However, angiography is considered gold standard as it provides the definitive diagnosis with size, shape and location of the aneurysm with scope for intervention [1,3,4].…”

“…The first successful ligation was performed by Kehr in 1903 [1,3,4]. Aneurysms of the common hepatic artery may be safely ligated provided there is a patent gastroduodenal artery or pancreaticoduodenal artery providing collateral blood supply to the liver [1-4].…”