Abstract
Herein, we report the case of a 52-year-old female with new-onset right upper quadrant pain and hypertension. She was found to have hemoperitoneum upon surgical exploration. Visceral angiography demonstrated a left hepatic artery aneurysm and an occluded right renal artery. The patient was treated with percutaneous angiographic embolization of the left hepatic artery, followed by right nephrectomy and cholecystectomy. Ruptured hepatic aneurysms are associated with a high mortality rate. The clinical presentation of patients with hepatic artery aneurysms is discussed. Early diagnosis and treatment are essential for a favorable outcome.
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REFERENCES
Shannon R. Hepatic artery aneurysm. Med. J. Aust. 1991;154:773-774
Countryman D, Norwood S, Register D, et al. Hepatic artery aneurysm. Report of an unusual case and review of the literature. Am. Surg. 1983;49:51-54
Kibbler CC, Cohen DL, Cruicshank JK, et al. Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm. Gut 1985;26:752-756
Schroeyers P, Lismonde M, Vermonde J, et al. Management of hepatic artery aneurysm. Case report and literature review. Acta Chir. Belg. 1995;95:89-91
Shanley CJ, Shah NL, Messina LM. Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Ann. Vasc. Surg. 1996;10:506-515
Jeans PL. Hepatic artery aneurysms and biliary surgery: two cases and a literature review. Aust. N.Z. J. Surg. 1988;58:889-894
Zachary K, Geier S, Pellecchia C, et al. Jaundice secondary to hepatic artery aneurysm: radiological appearance and clinical features. Am. J. Gastroenterol. 1986;81:295-298
Battikha JG, Schneider PA, Garcia J, et al. Ruptured arterial aneurysms in the area of the celiac trunk. Eur. J. Radiol. 1987;7:94-97
Guida PM, Moore SW. Aneurysm of the hepatic artery. Report of five cases with a brief review of the previously reported cases. Surgery 1996;60:299-310
Athey PA, Sax SL, Lamki N, et al. Sonography in the diagnosis of hepatic artery aneurysms. A.J.R. Am. J. Roentgenol. 1986;147:725-727
Ibach EG, O’Halloran MJ, Prendergast FJ. Hepatic artery aneurysm: two case reports and review of the literature. Aust. N.Z. J. Surg. 1997;67:143-147
Wolinski AP, Gall WJ, Dubbins PA. Hepatic artery aneurysm following pancreatitis diagnosed by ultrasound. Br. J. Radiol. 1985;58:768-770
Salo JA, Salmenkivi K, Tenhunen A, et al. Rupture of splanchnic artery aneurysms. World J. Surg. 1986;10:123-127
Thomas DE, Leon LM. Hepatic artery aneurysm rupture: case report, imaging findings, and literature review. S.D. J. Med. 1998;51:413-416
Mathisen DJ, Athanasoulis CA, Malt RA. Preservation of arterial flow to the liver: goal in treatment of extrahepatic and post-traumatic intrahepatic aneurysms of the hepatic artery. Ann. Surg. 1982;196:400-411
Finley JW, Franklin DP, Indeck M. Rupture of a traumatic common hepatic artery aneurysm: case report and review of the literature. J. Trauma 1998;45:637-641
Hossain A, Reis ED, Dave SP, et al. Visceral artery aneurysms: experience in a tertiary-care center. Am. Surg. 2001;67:432-437
Holzknecht N, Gauger J, Helmberger T, et al. Cross-sectional imaging findings in a case of polyarteritis nodosa with a ruptured hepatic artery aneurysm. A.J.R. Am. J. Roentgenol. 1997;169:1317-1319
Stauffer JT, Weinman MD, Bynum TE. Hemobilia in a patient with multiple hepatic artery aneurysms: a case report and review of the literature. Am. J. Gastroenterol. 1989;84:59-62
Jones HJ, Staud R, Williams RC Jr. Rupture of a hepatic artery aneurysm, renal infarction: 2 complications of fibromuscular dysplasia that mimics vasculitis. J. Rheumatol. 1998;25:2015-2018
Dolapci M, Ersoz S, Kama NA. Hepatic artery aneurysm. Ann. Vasc. Surg. 2003;17:214-216
Abbas MA, Fowl RJ, Stone WM, et al. Hepatic artery aneurysm: Factors that predict complications. J. Vasc. Surg. 2003;38:41-45
Cooper SG, Richman AH. Spontaneous rupture of congenital hepatic artery aneurysm. J. Clin. Gastroenterol. 1988;10:104-107
Psathakis D, Muller G, Noah M, et al. Present management of hepatic artery aneurysms. Symptomatic left hepatic artery aneurysm; right hepatic artery aneurysm with erosion into the gallbladder and simultaneous colocholecystic fistula–a report of two unusual cases and the current state of etiology, diagnosis, histology and treatment. Vasa 1992;21:210-215
Ariyan S, Cahow CE, Greene FL, et al. Successful treatment of hepatic artery aneurysm with erosion into the common duct. Ann. Surg. 1975;182:169-172
Curran FT, Taylor SA. Hepatic artery aneurysm. Postgrad. Med. J. 1986;62:957-959
Madding GF, Kennedy PA. Hepatic artery ligation. Surg. Clin. North Am. 1972;52:719-728
Bristol R, Gonzales P, Chassin JL. Aneurysm of the hepatic artery. Am. J. Surg. 1970;120:97-98
Erskine JM. Hepatic artery aneurysm. Vasc. Surg. 1973;7:106-125
Asbury GF. Ruptured hepatic artery aneurysm. Am. Surg. 1970;36:631-634
Graham EW, Cannel D. Accidental ligation of the hepatic artery. Report of one case, with a review of the cases in literature. Br. J. Surg. 1933;20:566-579
Michels NA. Newer anatomy of the liver-variant blood supply and collateral circulation. J.A.M.A. 1960;172:125-132
Michels NA. Collateral arterial pathways to the liver after ligation of the hepatic artery and removal of the celiac axis. Cancer 1953;6:708-724
Bengmark S, Rosengren K. Angiographic study of the collateral circulation to the liver after ligation of the hepatic artery in man. Am. J. Surg. 1970;119:620-624
Segall HN. An experimental anatomical investigation of the blood and bile channels of the liver. Surg. Gynecol. Obstet. 1923;37;152-178
Iseki J, Tada Y, Wada T, et al. Hepatic artery aneurysm. Report of a case and review of the literature. Gastroenterol. Jpn. 1983;18:84-92
Shanley CJ, Shah NL, Messina LM. Common splanchnic artery aneurysms: splenic, hepatic, and celiac. Ann. Vasc. Surg. 1996;10:315-322
Messina LM, Shanley CJ. Visceral artery aneurysms. Surg. Clin. North Am. 1997;77:425-442
Herskowitz MM, Flyer MA, Sclafani SJ. Percutaneous transhepatic coil embolization of a ruptured intrahepatic aneurysm in polyarteritis nodosa. Cardiovasc. Intervent. Radiol. 1993;16:254-256
Rothbarth LJ, Redmond PL, Kumpe DA. Percutaneous transhepatic treatment of a large intrahepatic aneurysm. A.J.R. Am. J. Roentgenol. 1989;153:1077-1078
Carr SC, Pearce WH, Vogelzang RL, et al. Current management of visceral artery aneurysms. Surgery 1996;120:627-634
Salam TA, Lumsden AB, Martin LG, et al. Nonoperative management of visceral aneurysms and pseudoaneurysms. Am. J. Surg. 1992;164:215-219
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Arneson, M.A., Smith, R.S. Ruptured Hepatic Artery Aneurysm: Case Report and Review of Literature. Ann Vasc Surg 19, 540–545 (2005). https://doi.org/10.1007/s10016-005-5043-5
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DOI: https://doi.org/10.1007/s10016-005-5043-5