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Saccular intrahepatic artery aneurysm
1Department of Surgery, Medical Centre Leeuwarden, The Netherlands.
The Netherlands Journal of Surgery
|October 1, 1987
Summary
This case study highlights a rare bleeding intrahepatic artery saccular aneurysm, emphasizing diagnostic challenges and treatment complexities for hepatic artery aneurysms. Surgical intervention and trans-catheter embolization are discussed as potential management strategies.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Intrahepatic artery saccular aneurysms are rare vascular lesions.
- Diagnosis and treatment present significant challenges due to their infrequent occurrence.
Observation:
- A patient presented with a bleeding intrahepatic saccular aneurysm, experiencing severe abdominal pain and acute anemia.
- The classic triad of pain, jaundice, and bleeding was absent, with pain and anemia being the primary symptoms.
Findings:
- The patient underwent successful surgical management involving ligation of the right hepatic artery and partial liver resection.
- The case underscores the rarity of these aneurysms and the complexity in their diagnosis and treatment.
Implications:
- Surgical intervention, while effective in this case, has a historically low success rate.
- Selective trans-catheter embolization is presented as a viable alternative to surgery for managing hepatic artery aneurysms.