Upper gastrointestinal bleeding due to hepatic artery aneurysm: Case report and literature review

Abstract

Highlights Hepatic artery aneurysm is an uncommon and asymptomatic disease, but in case of complication requires an urgent treatment. Symptomatic hepatic artery aneurysms and larger than 2 cm are indications for intervention. CT angiogram is the recommended technique for the diagnosis of this pathology. Percoutaneous embolization is an effective alternative in cases that implies large comorbidities and has become very popular.

Hepatic Artery Aneurysm/Pseudoaneurysm: An Unusual Cause of Upper Gastrointestinal (UGI) Bleeding and Biliary Obstruction Further Complicated by Glue Dislodgement Leading to Biliary Obstruction

“…Obstructive jaundice can occur due to external compression of the CBD or intraductal blood clots secondary to fistula formation between the pancreatic and biliary ducts [5,6]. The triad of jaundice, biliary colic, and gastrointestinal bleeding, as seen in our patients is seen in up to 25% of patients [7][8][9]. The lady in the case presentation had initially presented with lethargy, abdominal pain, multiple episodes of haematemesis, melaena, and then also developed biliary obstruction.…”