Hepatic artery aneurysm.
A 67-year-old man presented with epigastric pain and underwent cholecystectomy for acute acalculus cholecystitis. Exploration revealed a large aneurysm in the hepatic artery. One week later, the patient developed jaundice, ascending cholangitis and common bile duct obstruction. He was treated with percutaneous transhepatic drainage with dramatic improvement, then underwent an emergency aneurysm resection operation. He is now well, 8 months postoperatively. Due to the high mortality rate associated with hepatic artery aneurysm, treatment is primarily surgical with aneurysmorrhaphy or direct arterial reconstruction utilizing either autogenous saphenous vein or prosthetic grafts. For inaccessible aneurysms or when patients are unfit to withstand surgery, embolization is a useful alternative.
Lal
R B
RB
University of Illinois.
Strohl
J A
JA
Piazza
S
S
Aslam
M
M
Ball
D
D
Patel
K
K
D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006499:Hepatic Artery; D006801:Humans; D008297:Male; D011859:Radiography; D012501:Saphenous Vein / Q000637:transplantation