Hepatic Artery Pseudoaneurysm; Simple or Difficult to Diagnose? Pubmed



Bashiri K¹ ; Roushan N² ; Hamidian SM³
Source: Archives of Iranian Medicine Published:2016

Abstract

Ruptured hepatic artery pseudoaneurysm (HAP) generally leads to the hemobilia and can be diagnosed by endoscopy. This condition mostly occurs after an iatrogenic trauma. The management of the HAP is still a big challenge. Due to an increased rate of HAP cases over the last decade, appropriate management is necessary for the optimal outcomes achievement. Here, we report a 59-year-old woman presenting with hematemesis, melena, hematochezia, and epigastric pain. The CT scan of the abdomen showed intrahepatic biliay dilation with hypodense material, probably a clot inside it. Subsequently, the patient was transferred to an angiography unit. Celiac artery angiography demonstrated a right hepatic artery pseudoaneurysm, which subsequently embolized. © 2016, Academy of Medical Sciences of I.R. Iran. All rights reserved.