scholarly journals Spontaneous Rupture of a Pseudoaneurysm of the Right Hepatic Artery Causing Massive Upper Gastrointestinal Bleeding

2019 ◽  
Vol 6 (9) ◽  
pp. 1
Author(s):  
Abuajela Sreh ◽  
Muhammad Hafiz Kamarul Bahrin ◽  
Muhammad Bin Farid ◽  
Kiran Verma
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Spontaneous Rupture ◽  
Upper Gastrointestinal Bleeding ◽  
Right Hepatic Artery ◽  
The Right ◽  
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 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.

scholarly journals A rare cause of upper gastrointestinal bleeding in pregnancy

2019 ◽  
Vol 2 (1) ◽  
pp. 13-14
Author(s):  
Chitchai Rattananukrom ◽  
Wuttiporn Manatsathi
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Sudden Onset ◽  
Contrast Extravasation ◽  
Flip Flop ◽  
Right Hepatic Artery ◽  
Upper Gastrointestinal ◽  
In Pregnancy

A 29-year-old 11-week pregnant multigravida woman without previous medical history presentedwith sudden onset of hematemesis. This case illustrates the occurrence of a rare complication (rupture of pseudoaneurysm of right hepatic artery inside the biliary system), appearing as upper gastrointestinal bleeding in a pregnant woman. The cause of the rupture is presumably pregnancy-related. We would like to emphasize the presence of pseudoaneurysm of the hepatic artery as a rare cause of gastrointestinal bleeding in pregnancy.   Figure 1 and 2  CTA showed a lobulated contour of saccular aneurysmal dilatation at proximal right hepatic artery, measured about 3.5x3.2x1.6 cm in size and 2.6 mm in neck width; pseudoaneurysm is likely. There is perianeurysmal heterogeneously hyperdense non-enhancing lesion which shows flip-flop phenomenon, measured about 5.5x6.1x5.5 cm in size; Partially thrombosed pseudoaneurysm at proximal right hepatic artery is likely. This lesion causes stretching of the common hepatic artery and portal vein. Hyperdenselesion with flip-flop phenomenon is also seen within dilated bilateral IHD, CHD, CBD and gallbladder; Contrast extravasation into CHD, CBD, 1st, 2nd, 3rd, 4th part of duodenum and jejunum is detected in portovenous phase. hemobilia is suggested.    

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

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.

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