Hepatic Artery Pseudoaneurysm in an Infant With Pancreatitis

Nawal M Alrubia1, Nouryah A Alhafez2

  • 1Pediatric Gastroenterology, Maternity and Children's Hospital, Dammam, SAU.

Cureus
|May 31, 2024
PubMed

Insights

A rare case of hepatic artery pseudoaneurysm (HAP) in an infant with acute pancreatitis highlights the need for early imaging. Prompt diagnosis and intervention are crucial to prevent life-threatening rupture.

Area of Science:

  • Pediatric Gastroenterology
  • Vascular Surgery
  • Radiology

Background:

  • Acute pancreatitis can lead to serious complications, including vascular pseudoaneurysms.
  • Hepatic artery pseudoaneurysm (HAP) is a rare but critical complication, especially in infants.

Observation:

  • A two-month-old infant with a family history of pancreatitis developed worsening symptoms.
  • Imaging revealed a pancreatic pseudocyst (PCC) and an atypical pseudoaneurysm of the hepatic artery.

Findings:

  • Selective angiography confirmed the hepatic artery pseudoaneurysm.
  • The pseudoaneurysm was successfully managed with embolization.

Implications:

  • This case underscores the rarity of HAP secondary to pancreatitis in infants.
  • Highlights the importance of thorough imaging for arterial involvement and prompt intervention to prevent rupture.

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