Hepatic artery aneurysm associated with acute gastroenteritis: successful treatment after intraperitoneal rupture.
A 62-year-old multiparous woman was hospitalized because of nausea, vomiting, anorexia, loose stools, and abdominal discomfort for 3 days. During the hospitalization, she suddenly had hemorrhagic shock with electromechanical dissociation. Intraoperatively, she was found to have a ruptured hepatic artery aneurysm, which was successfully ligated. The patient fully recovered. We believe hepatic artery aneurysms should be considered in the differential diagnosis of patients with nonspecific gastrointestinal symptoms if unexplained anemia, jaundice, and especially hypotension occur.
Tan
W
W
Department of Medicine, Maimonides Medical Center, Brooklyn, NY 11219.
Schiano
T D
TD
Moss
D
D
Herzlich
B C
BC
D000208:Acute Disease; D000783:Aneurysm / Q000175:diagnosis* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D003949:Diagnostic Techniques, Surgical; D005260:Female; D005759:Gastroenteritis / Q000175:diagnosis* / Q000601:surgery; D006499:Hepatic Artery / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D012771:Shock, Hemorrhagic / Q000209:etiology