Upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm secondary to trauma: a case report
Medical Principles and Practice. 2010; 19 (6): 493-495
in English
| IMEMR
| ID: emr-139534
ABSTRACT
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. This report shows that hepatic artery pseudoaneurysm should be considered as a possible cause of upper gastrointestinal hemorrhagefollowing 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
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Index:
IMEMR (Eastern Mediterranean)
Type of study:
Case report
Language:
English
Journal:
Med. Princ. Pract.
Year:
2010
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