title: [Perforated aneurysm of the left hepatic artery].
abstract: Aneurysms of the hepatic artery are second (20%) to the splenic artery the most common site of splanchnic artery aneurysms. The frequency of location in the branches of the hepatic artery is as follows: common hepatic 63%, right hepatic 28, left hepatic 5%, both left and right hepatic artery 4%. Today atherosclerosis (30 - 32%) is the most prevalent etiology, followed by trauma (22 - 28%) and inflammatory lesions (11%). The average age is 41,6 years, the male to female ratio 2:1. In 64-80% of patients rupture of the aneurysm is the first and dramatic clinical manifestation. The mortality is then about 35%. The case of a 64 years old female with perforated aneurysm of the left hepatic artery is presented and the literature is reviewed with emphasis on etiology, clinical manifestation, diagnostic and therapeutic (surgical and non-surgical) procedures.
authors.affiliation: Klinik für Chirurgie, Medizinische Universität zu Lübeck.
authors.forename: E M
authors.initials: EM
authors.lastname: Noah
authors.forename: D
authors.initials: D
authors.lastname: Psathakis
authors.forename: H P
authors.initials: HP
authors.lastname: Bruch
authors.forename: C
authors.initials: C
authors.lastname: Kagel
mesh_terms: D000783:Aneurysm / Q000473:pathology / Q000601:surgery*; D000792:Angiography; D005260:Female; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000473:pathology / Q000601:surgery; D006499:Hepatic Artery / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008099:Liver / Q000098:blood supply; D008111:Liver Function Tests; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012422:Rupture, Spontaneous; D012771:Shock, Hemorrhagic / Q000473:pathology / Q000601:surgery
vernacular_title: Perforiertes Aneurysma der Arteria hepatica sinistra.