[Dissection of hepatic artery aneurysm after gastrectomy]

Dissection of hepatic artery aneurysm is a rare but eventually lethal complication, after gastrectomy associated with ganglionic clearing out. A 72-year-old woman, who has sought such a surgery three weeks before, presented high digestive haemorrhage and hypotension. Endoscopic and scanographic investigation could not assess obvious diagnosis. Three days later, the patient had again haemoglobin depletion and collapsus, leading to hemorrhagic shock and death. Autopsy showed up hemoperitoin and dissected hepatic artery aneurysm. The main aetiology of hepatic artery aneurysm is atherosclerosis, but an abdominal surgery can be involved. Surgery and embolisation are the two possible treatments to be discussed and managed in the meantime.