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Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report
Courtney Wham1, Daria Nicke2, Justin Burman2
1Denver Health, Emergency Medicine Residency, Denver, Colorado Denver Health.
Introduction:
Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction.
Case Report:
This report describes a 70-year-old female who presented to the emergency department with Quincke triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding) and was diagnosed with multiple hepatic artery pseudoaneurysms with a thrombosed fistulous connection to the biliary system. She was treated effectively with extensive embolization and biliary stenting.
Conclusion:
This case underscores the importance of early diagnosis and highlights the role of multidisciplinary intervention in preventing life-threatening complications from hepatic artery aneurysms.
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