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Obstructive jaundice by a dissecting aneurysm of celiac axis and hepatic artery
P M Bret1, C Partensky, M Bretagnolle
1Department of Gastrointestinal Radiology, Hôpital Edouard Herriot, Lyon, France.
Insights
A dissecting aneurysm of the celiac axis and hepatic artery caused obstructive jaundice. CT scan was crucial for diagnosing the associated aortic dissection, leading to successful treatment.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Diagnostic Imaging
Background:
- Dissecting aneurysms of visceral arteries are rare vascular emergencies.
- Obstructive jaundice can be an atypical presentation of visceral artery aneurysms.
Observation:
- A patient presented with obstructive jaundice secondary to a dissecting aneurysm.
- Ultrasound and angiography visualized the aneurysm, but CT scan revealed the extent of aortic dissection.
Findings:
- Computed tomography (CT) scan is essential for diagnosing associated aortic dissections.
- Multimodal treatment including percutaneous transhepatic biliary drainage and surgical aneurysm exclusion was effective.
Implications:
- This case highlights the importance of advanced imaging in diagnosing complex vascular pathologies.
- Effective management strategies for visceral artery dissecting aneurysms can be achieved with a combined approach.
Abstract:
We report a case of dissecting aneurysm of the celiac axis and hepatic artery resulting in obstructive jaundice. The aneurysm was demonstrated both by ultrasound and by angiography, but the associated aortic dissection was apparent only on CT scan. The patient was treated with percutaneous transhepatic biliary drainage, surgical exclusion of the aneurysm by ligation, and progressive dearterialization of the hepatic artery.