Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization.

Autor: Sandelis-Pérez JE; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Córdova-Toro A; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., García-Santiago S; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Otero-Cárdenas EG; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., de Rubio-Cruz PG; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Márquez-Márquez S; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Rodríguez-Malavé MJ; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Febles-Negrón A; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Colon-Márquez JA; Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico., Hidalgo-Ríos A; Radiology Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto Rico.
Jazyk: angličtina
Zdroj: Case reports in vascular medicine [Case Rep Vasc Med] 2020 Sep 09; Vol. 2020, pp. 8835573. Date of Electronic Publication: 2020 Sep 09 (Print Publication: 2020).
DOI: 10.1155/2020/8835573
Abstrakt: Hepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that on her second hospital day developed sudden hemodynamic instability, abdominal pain, fatigue, skin-mucosa pallor, and anemia. Abdominal CT scan with contrast showed a left hepatic artery pseudoaneurysm associated with extensive hemoperitoneum. Patient required emergent hemodynamic stabilization and finally was treated successfully with a superselective endovascular coil embolization. Our patient represents an atypical case of a spontaneous rupture of an idiopathic hepatic artery pseudoaneurysm. Hence, the importance of having a high index of clinical suspicion. Endovascular coil embolization has become the first-line treatment.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2020 Jorge E. Sandelis-Pérez et al.)
Databáze: MEDLINE
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