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Related Experiment Videos

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
PubMed
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.

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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.

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  • Review of current treatment options favors embolization over traditional surgical repair.