TY - JOUR AU - Bua, Vincenzo AU - Marsigli, Lorenzo AU - Nardi, Roberto AU - Trivella, Anna Maria AU - Isceri, Salvatore AU - Piegaia, Maria Luisa AU - Pierfederici, Andrea AU - Ferretti, Maurizio AU - Boriani, Luciana AU - Brunori, Alessandra AU - Ziosi, Angelo PY - 2013/04/30 Y2 - 2024/03/29 TI - Ruptured aneurysm of the hepatic artery: a mismatching diagnosis JF - Italian Journal of Medicine JA - Ital J Med VL - 3 IS - 3 SE - Imaging in Internal Medicine DO - 10.4081/itjm.2009.175 UR - https://www.italjmed.org/ijm/article/view/itjm.2009.175 SP - 175-178 AB - 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. <br />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. ER -