Gastrointestinal hemorrhage from fistula between traumatic pseudoaneurysm of the right hepatic artery and the duodenum.
The evaluation of gastrointestinal hemorrhage after abdominal trauma may be both urgent and difficult. After gunshot trauma, a fistula between the duodenum and a post-traumatic, hepatic artery pseudoaneurysm presented as a gastrointestinal hemorrhage. Tc-99m labeled RBC imaging demonstrated the pseudoaneurysm but did not show it as the source of the gastrointestinal hemorrhage--a large clot had formed, occluding the fistula. Angiography further delineated the lesion as arising from the right hepatic artery and transcatheter embolization was performed.
Taylor
D W
DW
Department of Radiology, Mt. Carmel Mercy Hospital, Detroit, Michigan 48235.
Babchuk
W I
WI
Walz
D J
DJ
Vemuri
B R
BR
D000783:Aneurysm / Q000150:complications*; D004378:Duodenal Diseases / Q000150:complications*; D005402:Fistula / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications*; D008297:Male; D008875:Middle Aged