Upper gastrointestinal bleeding due to hepatic artery aneurysm: Case report and literature review
| Autor: | Ainhoa Valle Rubio, Francisco Javier Jiménez Miramón, Laura Alonso-Lamberti Rizo, Carlos Bustamante Recuenco, José Luis Ramos Rodríguez, Andrea Salazar Carrasco, Julián Cuesta Pérez, Virginia Jiménez Carneros, José María Jover Navalón |
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| Rok vydání: | 2020 |
| Předmět: |
Gastrointestinal bleeding
Abdominal pain medicine.medical_specialty medicine.medical_treatment Case Report Asymptomatic Embolization 03 medical and health sciences 0302 clinical medicine Aneurysm medicine cardiovascular diseases Upper gastrointestinal bleeding business.industry Hepatic artery medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis cardiovascular system 030211 gastroenterology & hepatology medicine.symptom Hepatic aneurysm business Complication Artery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Hepatic artery aneurysm is an uncommon and asymptomatic disease, but in case of complication requires an urgent treatment. • Symptomatic hepatic artery aneurysms and larger than 2 cm are indications for intervention. • CT angiogram is the recommended technique for the diagnosis of this pathology. • Percoutaneous embolization is an effective alternative in cases that implies large comorbidities and has become very popular. Introduction Aneurysm of the hepatic artery is most of the time a rare and asymptomatic pathology, but in case of complication it shows high morbidity and mortality requiring in many cases an urgent treatment. Presentation of case A 92-year-old male presented at the emergency department with high gastrointestinal bleeding and abdominal pain. Gastroscopy showed a submucosal lesion with active bleeding that was controlled through this approach. The study was expanded with a CT angiogram and a complicated hepatic aneurysm with duodenal fistulization was observed. Discussion After reviewing the case, surgical treatment is proposed as the first option but it is rejected by the patient. Thus, aneurysm embolization with coils and thrombin is performed, without further complications. Conclusion Selective embolization of the hepatic artery aneurysm is a therapeutic alternative in cases that implies large comorbidities, being an increasingly used technique. |
| Databáze: | OpenAIRE |
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