Ictericia obstructiva secundaria a aneurisma de la arteria hepática / Obstructive jaundice secondary to hepatic artery aneurysm

ABSTRACT

BACKGROUND: Aneurysm of the hepatic artery is relatively infrequent, representing 16-20% of aneurysms of the visceral arteries. Clinical presentation is nonspecific and may include abdominal pain, upper digestive system hemorrhage, or obstructive jaundice, as in the case presented here. CLINICAL CASE: We present the case of a 47-year-old patient referred to our service due to obstructive jaundice, verifying that the pathology was caused by an aneurysm of >7 cm in diameter in the hepatic artery. Despite elective treatment and intensive collaboration of different surgical specialists, the patient's prognosis was poor. DISCUSSION: These types of aneurysms occur infrequently and with an uncertain prognosis. Therefore, individualized treatment for each case is necessary. CONCLUSIONS: We must carefully select the approach that fits the needs of our patient. The endovascular route is often currently used. However, because of the complexity of the location of the injury, in some cases it is impossible and surgical intervention is necessary with trained hepatobiliary and vascular surgeons.