Post-traumatic Pseudoaneurysm of Hepatic Artery (Case Report and Literature Review)
https://doi.org/10.52560/2713-0118-2023-1-63-71
Abstract
Pseudoaneurysm (PA) of the hepatic artery is a rare complication of abdominal trauma, iatrogenic injuries (biopsy, endoscopic cholecystectomy, liver transplantation), infections, tumors, vasculitis, acute and chronic pancreatitis. This case report presents a life-threatening complications in a patient who underwent surgery for liver lesion. Due to the use of CT angiography, it was possible to determine the cause of bleeding from the upper gastrointestinal tract, evaluation the localization of pseudoaneurysm and treated with elective management.
About the Authors
O. A. Vinogradova
Vladivostok Clinical Hospital No 2, Ministry of Healthcare of Primorskiy Kray; Tikhookeanskiy State Medical University, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Ol’ga A. Vinogradova, Ph. D. Med, Radiologist of X-ray Departmentof Vladivostok Clinical Hospital No. 2 of the Ministry of Healthcare of Primorskiy Kray, Senior Lecturer of Department of Therapy and Instrumental Diagnostics
57, ul. Russkaya, Vladivostok, 690105
+7 (423) 2-32-48-91
A. V. Romanova
Khasanskaya Central District Hospital, Ministry of Healthcare of Primorskiy Kray
Russian Federation
Russian Federation
Aleksandra V. Romanova, Ph. D. Med, Radiologist of X-ray Department
5, ul. Druzhby, Slavyanka, Primorskiy Kray, 692701
+7 (42331) 48-0-99
References
1. Aleksandrov V. V., Maskin S. S., Ermolaeva N. K., Matyukhin V. V. Conservative management of patients with blunt trauma of the parenchymal organs of the abdominal cavity and retroperitoneal space, with retroperitonealhemorrhages — indications, methodology and feasibility. Zhurnalim. N. V. Sklifosovskog oNeotlozh naya meditsinskaya pomoshch’. 2021. V. 10. No. 3. P. 540‒548 (in Russian).
2. Galimov O. V., Plechev V. V., Ishmetov V. Sh., Abdrakhmanov R. E., Ibragimov T. R., Blagodarov S. I., Gilemkhanov A. R. Miniinvasive treatment of descending aorta visceral branches anevrisms. Endoskop icheskaya khirurgiya. 2017. No. 5. P. 35‒39 (in Russian).
3. Maskin S. S., Aleksandrov V. V., Matyukhin V. V., Ermolaeva N. K. Blunt liver injuries: algorithm of surgical treatment in a level I trauma center. Politravma. 2020. No. 2. P. 84‒91 (in Russian).
4. Mushenko E. V., Avdos’ev Yu. V., Tishchenko A. M., Smachilo R. M., Ivanova Yu. V. Surgical treatment of visceral pseudoaneurysm. Novosti khirurgii. 2020. V. 28. No. 4. P. 387‒395 (in Russian).
5. Ahmed M., Elkahly M., Dada S., Mahmoud A., Chin M. Hepatic artery pseudoaneurysm following gunshot injur y with early rupture. Cureus. 2021, 13 (6):e15866. DOI 10.7759/cureus.15866
6. Bains L., Kori R., Sharma R., Kaur D. Replaced right hepatic artery pseudoaneurysm managed with coil embolization. BMJ Case Rep. 2019, 12:e227921. DOI: 10.1136/bcr-201-227921
7. Barrientos-Dtlgado A., Delgado-Maroto A., Hallouch-Toutouh S. Billiary bleeding due to a hepatic artery pseudoaneurysm rupture. Rev EspEnferm. 2018, Dig 2018:110(11):741.DOI:10.17235/reed.2018.5661/2018
8. Berek P., Kopolevets I., Dzsinich C., Bober J., Stefanic P., Sihotsky V. Interdisciplinary management of visceral artery aneurisms and visceral artery pseudoaneurysms. ActaMedica. 2020. V. 63. No. 1. P. 43‒48.
9. Jha P., Joshi B. D., Jha B. K. Hepatic ar - tery pseudoaneurysm, bronhobiliary fistu la in a patient with liver trauma. BMC Surgery. 2018.https//doi.org/10.1186/s12893-018-0437-9
10. Mahmood I., Kasim M., El-Menyar A., Nabir S., Afifi I., Abdelrahman H., Rizzoli S., Al-Thani H. Late development of giant hepatic artery pseudoaneurysm following abdominal trauma due to tire blast: case report end literature review. J. of Surgical Case Reports. 2021. No. 12. P. 1‒4.
11. Patel M. S., Shetty V., Deshpande A. A. Early presentation of ruptured post-traumatic hepatic artery pseudoaneurysm. J. Postgrad Med. 2018. V. 64. No. 4. P. 250‒252.
12. Prasad A., Prasad A., Kumar P., Kumar S. Post-traumatic pseudoaneurysm of hepa tic artery: an unusual cause of upper gastrointestinal bleeding. Indian Pediatrics. 2020. V. 57. No. 15. P. 370‒372.
13. Qsterballe L., Helgstrand F., Axel sen T., Hillings J., Svenden L. B. Hepaticpseudoaneurysm after traumat ic liver injury; is CT follow-up warranted? J. of Trauma Management and Outcomes. 2014, 8:18. htts//www.traumamanag ment.org/content/8/1/18.
14. Wortman J. R., Landman W., Fulwadhva U., Viscomi S. G., Sodickson A. D. CT angiography for acute gastrointestinal bleeding: what the radiologist needs to know. Br. J.Radiol. 2017: 90: 20170076.
Review
For citations:
Vinogradova O.A., Romanova A.V. Post-traumatic Pseudoaneurysm of Hepatic Artery (Case Report and Literature Review). Radiology - Practice. 2023;(1):63-71. (In Russ.) https://doi.org/10.52560/2713-0118-2023-1-63-71
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