[Massive pulmonary embolism due to post-traumatic pseudo-aneurysm due to rupture of the left hepatic artery, revealed by dissecting aneurysm below the capsule of the right lobe of the liver (author's transl)].
We report a case of trauma of the left lobe of the liver causing left centro-hepatic contusion (stage III) revealed by infective jaundice. Secondarily, the appearance of a right subcapsular hematoma corrected the diagnosis, permitting the authors to proceed to angiographic exploration and consider operation on the right side, but the patient had a massive pulmonary embolism. This case recalls the diagnostic difficulties soon after a contusion, the diffusion of a hematoma under pressure from left to right, then from the liver towards the hepatic venous system, the risk of pulmonary embolism, from an aneurysm of the hepatic artery.
D000328:Adult; D000783:Aneurysm / Q000175:diagnosis* / Q000209:etiology; D003288:Contusions; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology*; D006498:Hepatectomy; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D008099:Liver / Q000293:injuries*; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D012421:Rupture
Embolie pulmonaire massive due à un pseudo-anévrysme post-traumatique rompu de l'artère hépatique gauche, révélé par un hématome disséquant et sous-capsulaire du foie droit.