scholarly journals Post-traumatic hepatic artery pseudoaneurysm with recurrent hemoperitoneum and repeated laparotomies treated by endovascular coil embolization

2021 ◽  
Vol 67 (3) ◽  
pp. 186
Author(s):  
S Mohakud ◽  
PK Sasmal ◽  
D Das ◽  
P Kumar
2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Jorge E. Sandelis-Pérez ◽  
Andrés Córdova-Toro ◽  
Steven García-Santiago ◽  
Erica G. Otero-Cárdenas ◽  
Pedro Gil de Rubio-Cruz ◽  
...  

Hepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that on her second hospital day developed sudden hemodynamic instability, abdominal pain, fatigue, skin-mucosa pallor, and anemia. Abdominal CT scan with contrast showed a left hepatic artery pseudoaneurysm associated with extensive hemoperitoneum. Patient required emergent hemodynamic stabilization and finally was treated successfully with a superselective endovascular coil embolization. Our patient represents an atypical case of a spontaneous rupture of an idiopathic hepatic artery pseudoaneurysm. Hence, the importance of having a high index of clinical suspicion. Endovascular coil embolization has become the first-line treatment.


2008 ◽  
Vol 18 (11) ◽  
pp. 2579-2581 ◽  
Author(s):  
Antonio Basile ◽  
Salvatore Ragazzi ◽  
Diego Piazza ◽  
Dimitrios Tsetis ◽  
Tommaso Lupattelli ◽  
...  

2019 ◽  
Vol 6 (9) ◽  
pp. 3438
Author(s):  
Prasanna Gopal ◽  
Shankar Subbarayan ◽  
Karthikeyan Mohan ◽  
Amudhan Anbalagan ◽  
Kalpana S. ◽  
...  

 In blunt trauma abdomen, liver is the most commonly injured organ after spleen. Management of blunt hepatic injury has shifted from operative to non-operative management NOM in hemodynamically stable patients. Main cause of failure of NOM is hemodynamic instability due to re-bleeding or secondary hemorrhage due to rupture of capsular hematoma. Post traumatic hepatic artery pseudoaneurysm HAP as a cause of failure of NOM is rare, reported in about 1.2%. HAP requires early intervention by angiographic embolisation or surgery to prevent catastrophic event. Here, we report our experience with four cases of HAP managed in our centre in past three years. Three patients were managed by selective angioembolisation and one patient was treated by surgery. All patients had uneventful recovery and are asymptomatic on follow-up. HAP is a rare life threatening complication which can present even after successful NOM as a delayed presentation. All symptomatic pseudoaneurysm has to be managed by angioembolisation or surgery depending on hemodynamic stability.


2021 ◽  
Vol 5 (2) ◽  
pp. 70-71
Author(s):  
Adriana Fabiola Romano-Munive

We described a case of hepatic artery pseudoaneurysm occurring as a complication of biliary stent migration, presented as cholangitis. It was managed by endoscopic retrograde cholangiopancreatoraphy and the pseudoaneurysm was treated with coil embolization.


2010 ◽  
Vol 2 (2) ◽  
pp. 87 ◽  
Author(s):  
Lloret Estañ Francisco ◽  
López Conesa Asunción ◽  
Capel Alemán Antonio ◽  
Robles Campos Ricardo ◽  
Reus Pintado Manuel ◽  
...  

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