Ruptured aneurysm of the hepatic artery: a mismatching diagnosis

  • Vincenzo Bua
  • Lorenzo Marsigli | paola.granata@pagepress.org
  • Roberto Nardi
  • Anna Maria Trivella
  • Salvatore Isceri
  • Maria Luisa Piegaia
  • Andrea Pierfederici
  • Maurizio Ferretti
  • Luciana Boriani
  • Alessandra Brunori
  • Angelo Ziosi

Abstract

Background: Hepatic aneurysms are extremely rare with very few cases reported, and most have been source of misdiagnosis and clinical pitfalls in emergency medicine. Presentation with intraabdominal hemorrhage is associated with a high mortality rate.
Case report: We report the case of an adult male, referred for a severe acute pain in the left lower chest-upper quadrant abdomen pain. We present multislice contrast-enhanced CT-scanning and angiographic findings, and a life-saving emergency trancatheter embolization, using fragments of absorbable gelatin sponge. Emergency doctors should consider ruptured hepatic artery aneurysms in the differential diagnosis of acute abdominal pain and promptly cooperate with endovascular specialists to treat this life-threatening condition.

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Published
2013-04-30
Info
Issue
Section
Imaging in Internal Medicine
Keywords:
Hepatic aneurysms, Abdominal pain, Intra-abdominal hemorrhage, Transcatheter embolization.
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  • PDF: 471
How to Cite
Bua, V., Marsigli, L., Nardi, R., Trivella, A. M., Isceri, S., Piegaia, M. L., Pierfederici, A., Ferretti, M., Boriani, L., Brunori, A., & Ziosi, A. (2013). Ruptured aneurysm of the hepatic artery: a mismatching diagnosis. Italian Journal of Medicine, 3(3), 175-178. https://doi.org/10.4081/itjm.2009.175

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