RESUMO
Hepatic artery aneurysms are uncommon visceral aneurysms that are usually found incidentally on imaging. We present a case of large common hepatic aneurysm presenting with life-threatening hematemesis due to duodenal erosion, in a 66-year-old man, treated by embolization with Onyx and coils while preserving hepatic perfusion.
Assuntos
Aneurisma/terapia , Duodenopatias/etiologia , Hematemese/etiologia , Artéria Hepática , Idoso , Aneurisma/complicações , Aneurisma/diagnóstico por imagem , Angiografia Digital , Aortografia/métodos , Angiografia por Tomografia Computadorizada , Dimetil Sulfóxido/administração & dosagem , Duodenopatias/diagnóstico , Duodenoscopia , Embolização Terapêutica/instrumentação , Embolização Terapêutica/métodos , Artéria Hepática/diagnóstico por imagem , Humanos , Masculino , Polivinil/administração & dosagem , Radiografia Intervencionista , Resultado do TratamentoRESUMO
Spontaneous femoral artery pseudoaneurysm is a rare disease and reported cases are very rare. Most of them are related to an underlying pathology of either atherosclerotic disease or connective tissue disease. We present a healthy, 29-year-old man with 2-month history of a painful pulsating mass at the level of the lower right thigh with no previous history of trauma, surgery, or puncture of the femoral artery. An angiogram revealed a right superficial femoral artery pseudoaneurysm. It was treated surgically by resection of the aneurysm and reconstruction with an interpositional saphenous vein graft. We report this case because of the rarity of this condition in a young patient with no underlying pathology.
