Pseudoaneurysm of the proper hepatic artery with duodenal fistula appearing as a late complication of blunt abdominal trauma.
Posttraumatic pseudoaneurysms of the hepatic artery are rare and usually occur as a complication of open abdominal trauma. Even less common is the coexisting presence of enteric fistulization. We report a patient with upper gastrointestinal hemorrhage occurring 3 years after blunt abdominal trauma resulting from a pseudoaneurysm of the proper hepatic artery with duodenal fistulization. The patient was treated successfully by ligation of the proper hepatic artery and closure of the duodenal opening.
Aboujaoude
M
M
Department of Surgery, Notre-Dame Hospital, Montreal, Quebec, Canada.
Noel
B
B
Beaudoin
M
M
Ghattas
G
G
Lalonde
L
L
The Bao Bui
Oliva
V L
VL
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D011859:Radiography; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications*