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Hepatic Artery Pseudoaneurysm; Simple or Difficult to Diagnose?
Kiandokht Bashiri1, Nader Roushan2, Seyyed Mohammadtaghi Hamidian3
1Tehran University of Medical Sciences, Tehran, Iran.
Archives of Iranian Medicine
|July 1, 2016
Summary
Ruptured hepatic artery pseudoaneurysm (HAP) can cause hemobilia, often after iatrogenic trauma. Angiographic embolization is an effective treatment for this challenging condition.
Area of Science:
- Hepatobiliary Surgery
- Vascular Interventions
- Gastroenterology
Background:
- Ruptured hepatic artery pseudoaneurysm (HAP) is a rare but serious complication, often resulting from iatrogenic trauma.
- HAP can lead to significant gastrointestinal bleeding, including hemobilia, presenting diagnostic and management challenges.
Observation:
- A 59-year-old woman presented with hematemesis, melena, hematochezia, and epigastric pain.
- Abdominal CT revealed intrahepatic biliary dilation with suspected intraluminal clot.
- Celiac artery angiography confirmed a right hepatic artery pseudoaneurysm.
Findings:
- The hepatic artery pseudoaneurysm was successfully treated with embolization.
- Endoscopic diagnosis of hemobilia is possible, but angiography is crucial for identifying the pseudoaneurysm.
Implications:
- This case highlights the importance of prompt diagnosis and endovascular management of HAP.
- Effective embolization offers a viable treatment option for HAP, potentially improving patient outcomes.
- Increased incidence necessitates awareness and optimized management strategies for HAP.
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