Post-traumatic Pseudoaneurysm of Hepatic Artery: An Unusual Cause of Upper Gastrointestinal Bleeding

2020 ◽  
Vol 57 (4) ◽  
pp. 370-372
Author(s):  
Arun Prasad ◽  
Abhiranjan Prasad ◽  
Pradeep Kumar ◽  
Subhash Kumar
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Traumatic Pseudoaneurysm ◽  
Post Traumatic ◽  
Upper Gastrointestinal

scholarly journals Upper gastrointestinal bleeding due to hepatic artery aneurysm: Case report and literature review

2020 ◽  
Vol 74 ◽  
pp. 230-233
Author(s):  
Laura Alonso-Lamberti Rizo ◽  
Carlos Bustamante Recuenco ◽  
Julián Cuesta Pérez ◽  
José Luis Ramos Rodríguez ◽  
Andrea Salazar Carrasco ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Artery Aneurysm ◽  
Hepatic Artery Aneurysm ◽  
Upper Gastrointestinal

Massive upper gastrointestinal bleeding due to right hepatic artery pseudoaneurysm secondary to cholecystitis

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 665-668
Author(s):  
K. Habib ◽  
G. Williams
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Japanese Literature ◽  
Biliary Tree ◽  
Artery Pseudoaneurysm ◽  
Right Hepatic Artery ◽  
Hepatic Artery Pseudoaneurysm ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

AbstractA literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant gastrointestinal bleeding. There are more than 10 reported cases of cystic artery pseudoaneurysms but a thorough search revealed only two cases in English (1,2) and perhaps one in Japanese literature of right hepatic artery pseudoaneurysm secondary to cholecystitis presenting as massive upper gastrointestinal bleed. We present a probable fourth case in a 52 year old woman with classical clinical/biochemical picture, typical radiological appearance and who underwent successful interventional radiological treatment of this condition.

scholarly journals Hemobilija

2007 ◽  
Vol 54 (1) ◽  
pp. 41-45 ◽  
Author(s):  
D. Galun ◽  
D. Basaric ◽  
N. Lekic ◽  
Z. Raznatovic ◽  
S. Barovic ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Clinical Presentation ◽  
Upper Gastrointestinal Bleeding ◽  
Blood Clot ◽  
Transarterial Embolization ◽  
Artery Aneurysm ◽  
Biliary Duct ◽  
Papilla Of Vater ◽  
Upper Gastrointestinal

The phenomenon now known as haemobilia was first recorded in XVII century by well known anatomist from Cambridge, Francis Glisson and his description was published in Anatomia Hepatis in 1654. Until today etiology, clinical presentation and management are clearly defined. Haemobilia is a rare clinical condition that has to be considered in differential diagnosis of upper gastrointestinal bleeding. In Western countries, the leading cause of haemobilia is hepatic trauma with bleeding from an intrahepatic branch of the hepatic artery into a biliary duct (mostly iatrogenic in origin, e.g. needle biopsy of the liver or percutaneous cholangiography). Less common causes include hepatic neoplasm; rupture of a hepatic artery aneurysm, hepatic abscess, choledocholithiasis and in the Orient, additional causes include ductal parasitism by Ascaris lumbricoides and Oriental cholangiohepatitis. Clinical presentation of heamobilia includes one symptom and two signs (Quinke triad): a. upper abdominal pain, b. upper gastrointestinal bleeding and c. jaundice. The complications of haemobilia are uncommon and include pancreatitis, cholecystitis and cholangitis. Investigation of haemobilia depends on clinical presentation. For patients with upper gastrointestinal bleeding oesophagogastroduodenoscopy is the first investigation choice. The presence of blood clot at the papilla of Vater clearly indicates the bleeding from biliary tree. Other investigations include CT and angiography. The management of haemobilia isdirected at stopping bleeding and relieving biliary obstruction. Today, transarterial embolization is the golden standard in the management of heamobilia and if it fails further management is surgical.

scholarly journals Upper Gastrointestinal Bleeding due to Hemobilia

2016 ◽  
Vol 36 (1) ◽  
pp. 100-102
Author(s):  
Ritu Lamichhane ◽  
Binita G. Joshi ◽  
Nishant Wadhwa ◽  
Arun Gupta
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Liver Trauma ◽  
Right Hepatic Artery ◽  
Life Threatening ◽  
Pseudo Aneurysm ◽  
Life Threatening Complication ◽  
Trauma Ct ◽  
Upper Gastrointestinal

Haemobilia is one rare but potentially life threatening complication of delayed haemorrhage following liver trauma which occurs as a result of pathological communication between bile ducts and intra or extrahepatic vessels. We describe here a case of two year old child who presented with upper gastrointestinal bleeding and developed haemobilia in one month duration after blunt abdominal trauma. CT angiography revealed a right hepatic artery pseudo aneurysm as the cause of haemobilia and was successfully treated with right hepatic artery embolisation.J Nepal Paediatr Soc 2016;36(1):100-102.

Sign in / Sign up

Export Citation Format

Share Document