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Hepatic artery aneurysm.

R B Lal1, J A Strohl, S Piazza

  • 1University of Illinois.

The Journal of Cardiovascular Surgery
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

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A hepatic artery aneurysm complicated a gallbladder surgery, causing bile duct obstruction. Prompt treatment involving drainage and emergency surgery led to a full recovery, highlighting the importance of timely intervention for this rare condition.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Hepatobiliary Surgery

Background:

  • Hepatic artery aneurysms are rare but life-threatening vascular anomalies.
  • They can present with vague symptoms or catastrophic hemorrhage.
  • Acute acalculous cholecystitis can sometimes mask or coexist with hepatic artery aneurysms.

Observation:

  • A 67-year-old male presented with epigastric pain, leading to cholecystectomy for acute acalculous cholecystitis.
  • Intraoperative exploration revealed a large hepatic artery aneurysm.
  • Postoperatively, the patient developed jaundice, ascending cholangitis, and common bile duct obstruction due to the aneurysm.

Findings:

  • The patient's obstructive jaundice and cholangitis resolved dramatically after percutaneous transhepatic drainage.

Related Experiment Videos

  • An emergency aneurysm resection was successfully performed.
  • The patient recovered well and remained asymptomatic at 8-month follow-up.
  • Implications:

    • Hepatic artery aneurysms require prompt diagnosis and management due to high mortality.
    • Surgical repair (aneurysmorrhaphy or reconstruction) is the primary treatment.
    • Embolization serves as a viable alternative for high-risk or surgically unfit patients.