Hepatic Artery Aneurysm Rupture Presenting as an Upper GI Bleed: A Case Report

M Wayne ； C Wong ； J Kim ； B Gandolfi ； D Hudesman ； R Grossi

《International Journal of Hepatobiliary and Pancreatic Diseases(IJHPD)》 2卷1期 (2012/01) Pp. 15-19

https://doi.org/10.5348/ijhpd-2012-6-CR-4

並列摘要

Introduction: Hepatic artery aneurysms (HAAs) are a rare but a clinically important phenomenon. The natural history of HAA is poorly understood, however, it is suggested that mortality following spontaneous rupture is as high as 40% [1]. Statistics such as these sanction an aggressive approach to the management of the HAA, whenever detected. Case Report: We present a case of a 42-year-old old male who presented with two episodes of hematemesis. He underwent esophagogastroduodenoscopy (EGD) twice with control of bleeding, only to rebleed, and become unstable. A computed tomography (CT) angiogram demonstrated a hepatic artery aneurysm, which appeared to involve the duodenal bulb. The patient was taken emergently to the operating room for surgical repair of the hepatic artery aneurysm. Conclusion: Hepatic artery aneurysms are a rare entity and even less common cause of gastro-intestinal bleeding.

並列關鍵字

Bleeding ； Duodenum ； Hepatic ； Artery