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Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
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Published on: January 25, 2010

Upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm secondary to trauma: a case report

Xiaofang Luo1, Shiyun Tan, Junyu Wang

  • 1Department of Digestive System, Renmin Hospital of Wuhan University, Wuhan, PR China.

Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre
|October 1, 2010
PubMed

Insights

A rare cause of upper gastrointestinal bleeding, hepatic artery pseudoaneurysm, can occur after liver trauma. Early diagnosis with imaging and embolization treatment are key for this serious condition.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Pediatric Surgery

Background:

  • Hepatic artery pseudoaneurysms are rare but life-threatening complications.
  • They can present insidiously following hepatic trauma.

Observation:

  • An 11-year-old child presented with hematemesis and melena six months post-hepatic trauma.
  • Imaging revealed a right hepatic artery pseudoaneurysm.

Findings:

  • Transcatheter arterial embolization successfully treated the pseudoaneurysm.
  • This intervention resolved the gastrointestinal hemorrhage.

Implications:

  • Hepatic artery pseudoaneurysm must be considered in patients with upper gastrointestinal bleeding after liver injury.
  • Prompt diagnosis via Doppler ultrasound and angiography is crucial.
  • Embolotherapy is the recommended treatment for hepatic artery pseudoaneurysms.
Abstract

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