Upper Gastrointestinal Hemorrhage from Hepatic Artery Pseudoaneurysm Secondary to Trauma: A Case Report

Objective: 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 s...

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Bibliographic Details
Published in:Medical principles and practice 2010-01, Vol.19 (6), p.493-495
Main Authors: Luo, Xiaofang, Tan, Shiyun, Wang, Junyu, Qian, Cuijuan
Format: Article
Language:English
Subjects:
Aneurysm, False - diagnostic imaging
Aneurysm, False - etiology
Case Report
Child
Gastrointestinal Hemorrhage - etiology
Hepatic Artery
Humans
Liver - injuries
Male
Stomach Diseases - etiology
Ultrasonography
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Summary:Objective: 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. Conclusion: 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.
ISSN:1011-7571
1423-0151
DOI:10.1159/000320311