Ruptured aneurysm of the hepatic artery: a mismatching diagnosis

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

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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