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Hepatic artery aneurysms

P Petrin, V Costantino, G P Feltrin

The American Journal of Gastroenterology

|December 1, 1982

Summary

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Hepatic artery aneurysms can cause severe symptoms like abdominal pain or bleeding. Hepatic artery ligation effectively treated four patients, resolving symptoms and preventing recurrence during long-term follow-up.

Area of Science:

Vascular Surgery
Gastroenterology
Diagnostic Imaging

Background:

Hepatic artery aneurysms are rare but potentially life-threatening vascular conditions.
Diagnosis can be challenging, often mimicking other intra-abdominal pathologies.

Observation:

Four cases of hepatic artery aneurysm are presented.
Symptoms varied, including abdominal pain, hemoperitoneum with shock, and hemobilia leading to jaundice.
One aneurysm ruptured into the common bile duct, causing hemobilia and jaundice.

Findings:

Arteriography is crucial for accurate diagnosis of hepatic artery aneurysms.
Hepatic artery ligation proved to be a successful and definitive treatment in all four reported cases.
Patients experienced symptom resolution and remained asymptomatic during long-term follow-up post-ligation.

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Implications:

Early diagnosis and intervention are vital for managing hepatic artery aneurysms.
Hepatic artery ligation should be considered the primary treatment modality for these aneurysms.
This approach offers a safe and effective solution with excellent long-term outcomes.