scholarly journals A RIGHT HEPATIC ARTERY ANEURYSM INCIDENTALLY FOUND OUT DURING EXPLORATION FOR A SOFT TISSUE TUMOR IN THE RIGHT ELBOW

2008 ◽  
Vol 69 (8) ◽  
pp. 2068-2072 ◽  
Author(s):  
Hiroo WADA ◽  
Nobuhiro SUGANO ◽  
Soichiro MORINAGA ◽  
Ikuo SUGIMASA ◽  
Yasushi RINO ◽  
...  
2020 ◽  
Vol 8 ◽  
pp. 232470962098243
Author(s):  
Khalid Sawalha ◽  
Anthony Kunnumpurath ◽  
Ronald McCann

An 80-year-old male patient presented with sepsis secondary to infected central line which was placed for native aortic valve endocarditis. He also had melena and abdominal pain prior to his presentation. Abdominal computed tomography (CT) was done, which showed cholelithiasis. Esophagogastroduodenoscopy was also done with no source of bleeding identified. Later, he developed hemodynamic instability requiring aggressive fluid resuscitation and multiple packed blood cell transfusions. In view of his hemodynamic instability, a repeat abdominal CT scan showed air droplets within the gallbladder pneumobilia, ascites, diverticulosis, and a bleeding infrahepatic hematoma measuring 6 × 10 cm, which was not on his prior scan 2 days prior. A mesenteric arteriogram was performed that identified an aneurysm of the right hepatic artery with no active bleeding; therefore, it was coiled. Due to his continued clinical decompensation, he underwent an urgent open cholecystectomy, in which serosanguineous fluid, cholecystocolic fistula, and old clot related to his previous bleed were encountered. However, control of bleeding was difficult, and the patient expired. We report this case of right hepatic artery aneurysm that we believe its etiology was related to eroding cholecystitis.


2016 ◽  
Vol 43 (5) ◽  
pp. 401-403 ◽  
Author(s):  
ASTRID DEL PILAR ARDILA BERNAL ◽  
PAULO LOURES ◽  
JUAN CRISTÓBAL OSPINA CALLE ◽  
BEATRIZ CUNHA ◽  
JUAN CAMILO CÓRDOBA

ABSTRACT We report a case of an aneurysm of the right hepatic artery and its multidisciplinary management by general surgery, endoscopy and radiology services. Being a case of extremely low incidence, it is important to show its diagnostic and therapeutic approach.


2015 ◽  
Vol 8 (3) ◽  
pp. 271-273 ◽  
Author(s):  
Kota Shukuzawa ◽  
Naoki Toya ◽  
Soichiro Fukushima ◽  
Masamichi Momose ◽  
Tadashi Akiba ◽  
...  

Chirurgia ◽  
2021 ◽  
Vol 116 (4) ◽  
pp. 501
Author(s):  
Ionut Barbu ◽  
Florin Ichim ◽  
Alexandru Ristea ◽  
Razvan Lazea ◽  
Ioana Danciuc ◽  
...  

2011 ◽  
Vol 77 (5) ◽  
pp. 608-611 ◽  
Author(s):  
Amy B. Christie ◽  
D. Benjamin Christie ◽  
Don K. Nakayama ◽  
Maurice M. Solis

With the development of endovascular therapy, treatment for hepatic artery aneurysm (HAA) has evolved from open excision and repair to include endovascular approaches. We reviewed our recent experience with HAA to help define the treatment of HAA. From 2002 to 2010, five patients underwent treatment of HAA, all men with a median age of 63.2 years (range, 41-75). The median diameter of HAA was 5.8 cm (range, 2.4 cm-11 cm). Four lesions involved the extrahepatic portion of the hepatic artery, and one was an intrahepatic HAA that involved the right hepatic artery. Three were true aneurysms and two were pseudoaneurysms associated with trauma. Four of the five HAA patients were symptomatic, three with nonspecific abdominal pain, and one with free hemorrhage from a ruptured intrahepatic pseudoaneurysm. All five underwent computed tomography and selective arteriography. Two patients underwent open surgical aneurysmectomy and revascularization because of aneurysm location and concerns of the potential lack of collateral flow. Three patients underwent an endovascular coil embolization because obliteration of a saccular aneurysm could be achieved without compromising arterial flow of the native hepatic vessel. Re-embolization was necessary in the intrahepatic aneurysm because of recanalization of a feeding vessel. Endovascular embolization is an important minimally invasive approach in the treatment of HAA. Depending on HAA location and the adequacy of collateral arterial flow around the lesion, open aneurysmectomy and revascularization may be required.


2011 ◽  
Vol 106 ◽  
pp. S397
Author(s):  
Yun Ju Kim ◽  
Sanjaya Satapathy ◽  
Linda Law ◽  
Ariy Volfson ◽  
Barak Friedman ◽  
...  

2020 ◽  
Vol 13 (3) ◽  
pp. 1082-1090
Author(s):  
Rosy Setiawati ◽  
Vivid Umi Varidha ◽  
Giuseppe Guglielmi ◽  
Filippo Del Grande

Traumatic lesions of the axillary artery itself are limited to 2.9–9% of major arterial injuries. Pseudoaneurysms represent a pulsating encapsulated hematoma in communication with the lumen of a ruptured vessel. Traumatic pseudoaneurysm of the axillary artery is a rare sequela of injury to the shoulder region. We describe a case of posttraumatic pseudoaneurysm involving the axillary artery, which was initially misdiagnosed as an aggressive soft tissue tumor. The man presented 10 years after an injury from a fall from a tree with a slowly growing mass in the right upper limb region and reduced range of movement. This is a neglected case with a history of traditional massage. The patient presented a pathologic fracture of the right proximal humerus and dislocation of the glenohumeral joint. At the beginning, it was suggested to be a primary soft tissue tumor, but after several examinations, including comparable X-ray, ultrasound, and histopathology, the results did not support a soft tissue tumor. Magnetic resonance imaging and computed tomography angiography (CTA) finally confirmed the finding of a pseudoaneurysm of the right axillary artery associated with a huge hematoma with different age of the bleeding product and granulation tissue. This case demonstrates the necessity of early diagnosis of axillary artery pseudoaneurysm to prevent complications after a history of trauma. CTA is a useful modality to evaluate vascular injury and provides valuable information.


Sign in / Sign up

Export Citation Format

Share Document