Late presentation of hepatic pseudoaneurysm after liver trauma: a case of misdiagnosed cholecystitis and successful endovascular embolization.

Autor: Silva IS; Grupo de Investigación Médica de la Universidad Católica de Honduras, (GIMUNICAH), Faculty of Medicine, Universidad Católica de Honduras, San Pedro Sula, Honduras., Rojas Esquivel D; Department of Vascular Surgery, Hospital Mario Catarino Rivas, San Pedro Sula, Honduras., Haslam CP; Radiology Department, Centro de Diagnóstico Médico por Imágenes (DIAGNOS), San Pedro Sula, Honduras., Argueta JC; Department of Vascular Surgery, Hospital Mario Catarino Rivas, San Pedro Sula, Honduras., Ramos-Zaldívar HM; Grupo de Investigación Médica de la Universidad Católica de Honduras, (GIMUNICAH), Faculty of Medicine, Universidad Católica de Honduras, San Pedro Sula, Honduras.; Doctoral Program in Medical Sciences, Faculty of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2023 Jul 12; Vol. 2023 (7), pp. rjad410. Date of Electronic Publication: 2023 Jul 12 (Print Publication: 2023).
DOI: 10.1093/jscr/rjad410
Abstrakt: Hepatic artery pseudoaneurysms are a significant health concern, often incidentally discovered during computed tomography (CT) scans, as their exact incidence rate remains unknown. The most common symptoms of a pseudoaneurysm are hematemesis, abdominal pain, anemia and jaundice. A triad of right upper quadrant pain, jaundice and overt upper gastrointestinal bleeding is a classic presentation of the condition, which occurs in only a third of patients with hemobilia. Patients have a high risk of rupture, and an endovascular approach with coil embolization is recommended. A case of a 28-year-old woman with a post-traumatic hepatic pseudoaneurysm is presented in which she was initially misdiagnosed and treated for cholecystitis. After the development of jaundice, hematemesis and melena, a CT angiography confirmed diagnosis. Endovascular embolization was performed successfully, and the patient recovered without complications. This case highlights the importance of prompt diagnosis of hepatic pseudoaneurysms, as a delayed diagnosis can result in significant morbidity and mortality.
Competing Interests: The authors declare that they have no conflicts of interest related to this study.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.)
Databáze: MEDLINE
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