Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2010
Upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm secondary to trauma: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Luo Xiaofang, Tan Shiyun, Wang Junyu, Qian Cuijuan
Аннотация
OBJECTIVE: We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm.
CLINICAL PRESENTATION AND INTERVENTION: An 11-year-old child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 × 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiography confirmed the presence of a pseudoaneurysm of the right hepatic artery. Transcatheter arterial embolization was used to successfully treat the pseudoaneurysm.
CONCLUSION: This report shows that hepatic artery pseudoaneurysm should be considered as a possible cause of upper gastrointestinal hemorrhage following known hepatic injury. A high index of suspicion, repeated Doppler ultrasound and timely selective angiography are required for diagnosis. Embolotherapy is the treatment of choice.
CLINICAL PRESENTATION AND INTERVENTION: An 11-year-old child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 × 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiography confirmed the presence of a pseudoaneurysm of the right hepatic artery. Transcatheter arterial embolization was used to successfully treat the pseudoaneurysm.
CONCLUSION: This report shows that hepatic artery pseudoaneurysm should be considered as a possible cause of upper gastrointestinal hemorrhage following known hepatic injury. A high index of suspicion, repeated Doppler ultrasound and timely selective angiography are required for diagnosis. Embolotherapy is the treatment of choice.