Professional paper

Posttraumatic hepatic artery pseudoaneurysm presenting as gastrointestinal bleeding

LIANA CAMBJ–SAPUNAR ; Department of Diagnostic and Interventional Radiology, University Hospital Center, Spinčićeva 1. 21 000 Split, Croatia. University of Split School of Medicine, Split, Croatia.
MARINA MARAS–ŠIMUNIĆ ; Department of Diagnostic and Interventional Radiology, University Hospital Center, Spinčićeva 1. 21 000 Split, Croatia. University of Split School of Medicine, Split, Croatia.
TONKA PIPLOVIĆ–VUKOVIĆ ; Department of Internal Medicine, University Hospital Center, Split, Croatia
MIROSLAV ŠIMUNIĆ ; Department of Internal Medicine, University Hospital Center, Split, Croatia. University of Split School of Medicine, Split, Croatia.
ŽARKO ARDALIĆ ; Department of Internal Medicine, University Hospital Center, Split, Croatia
ANTE TONKIĆ ; Department of Internal Medicine, University Hospital Center, Split, Croatia. University of Split School of Medicine, Split, Croatia.
NIKOLA PERKOVIĆ ; Department of Internal Medicine, University Hospital Center, Split, Croatia

Abstract

Posttraumatic hepatic artery pseudoaneurysm is a rare, but life threatening condition which should be considered in patients
with a history of blunt abdominal trauma who present with abdominal pain or gastrointestinal bleeding. We report a
case of a patient with such a pseudoaneurysm discovered five months after a bicycle accident resulting in hepatic rupture
that was treated conservatively. The patient presented with fatigue, dizziness, inability to tolerate major exertion and gastrointestinal
bleeding. After extensive diagnostic procedures, a right hepatic artery pseudoaneurysm was found. The condition
was treated successfully with transcatheter coil embolization.

Keywords

blunt abdominal trauma; hepatic artery; pseudoaneurysm; embolization; gastrointestinal bleeding; abdominal pain

Hrčak ID:

134108

URI

https://hrcak.srce.hr/134108

Publication date:

1.10.2013.

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