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Related Concept Videos

Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Related Experiment Video

Updated: Oct 26, 2025

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Hepatic Artery Pseudoaneurysm Following Gunshot Injury With Early Rupture.

Mohamed Ahmed1, Mohamed Elkahly2, Stephen Dada3

  • 1Surgery, University of California, Riverside, Riverside, USA.

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|July 30, 2021
PubMed
Summary

Posttraumatic hepatic artery pseudoaneurysms (HAP) are rare but life-threatening. This case highlights the critical need for prompt recognition and multidisciplinary management of HAP rupture following liver trauma.

Keywords:
aneurysm rupturegswpenetrating injuriespenetrating liver traumapseudoaneurysmthoracoabdominal trauma

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Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Hepatobiliary Surgery

Background:

  • Hepatic artery pseudoaneurysms (HAP) are uncommon yet severe complications.
  • Causes include trauma, infection, tumors, and autoimmune diseases.
  • Management of liver trauma necessitates a tailored approach based on injury and patient factors.

Observation:

  • This case details a hepatic artery pseudoaneurysm rupture occurring two weeks post-gunshot wound to the liver.
  • The patient's presentation highlights the delayed but severe consequences of hepatic trauma.
  • The clinical course underscores the critical need for vigilant monitoring after liver injury.

Findings:

  • Ruptured HAP following liver trauma represents a significant surgical emergency.
  • Delayed presentation of HAP rupture can occur weeks after the initial injury.
  • Successful management hinges on timely intervention and a coordinated care team.

Implications:

  • Highlights the importance of considering delayed HAP rupture in patients with a history of liver trauma.
  • Emphasizes the need for advanced imaging and prompt surgical or endovascular intervention.
  • Reinforces the value of a multidisciplinary approach in managing complex posttraumatic vascular complications.