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Management options for hepatic artery aneurysms
L C Thibodeaux1, R M Deshmukh, A T Hearn
1Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA.
Annals of Vascular Surgery
|May 1, 1995
Summary
A rare case of post-operative hepatic artery aneurysms causing hemoperitoneum was successfully treated with coil embolization, offering a minimally invasive alternative to surgery for this condition.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Diverticulitis management can involve sigmoid resection.
- Hepatic artery aneurysms are a rare but serious complication.
Observation:
- A 70-year-old woman developed abdominal pain and hypotension post-sigmoid resection.
- Radiology revealed hemoperitoneum, attributed to intrahepatic hepatic artery aneurysms.
Findings:
- Four aneurysms of the left and right hepatic arteries were identified.
- Successful treatment was achieved using steel coil embolization.
Implications:
- Embolization is a viable, minimally invasive treatment for hepatic artery aneurysms.
- This case highlights the importance of considering vascular complications after abdominal surgery.
- Review of current treatment options favors embolization over traditional surgical repair.