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Hepatic artery aneurysm: an unusual presentation
1Department of Surgery, Leeds General Infirmary.
Summary
Thrombosed hepatic artery aneurysms are rare, often presenting with abdominal pain. This case highlights a middle-aged woman with a palpable mass, diagnosed with a thrombosed hepatic artery aneurysm.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Visceral artery aneurysms (VAAs), particularly hepatic artery aneurysms (HAAs), have an unclear natural history.
- Clinical manifestations of HAAs can range from abdominal pain to severe gastrointestinal bleeding and obstructive jaundice.
Observation:
- A middle-aged woman presented with right upper quadrant pain and a palpable abdominal mass.
- Diagnostic imaging revealed a thrombosed hepatic artery aneurysm as the underlying cause.
Findings:
- The case illustrates a rare presentation of a thrombosed hepatic artery aneurysm.
- The patient's symptoms correlated with the presence of the aneurysm.
Implications:
- This case underscores the importance of considering rare vascular pathologies in the differential diagnosis of abdominal masses and pain.
- Accurate diagnosis and management of hepatic artery aneurysms are crucial to prevent potentially life-threatening complications such as rupture or bleeding.