Hepatic artery aneurysm associated with upper gastrointestinal bleeding after intrahepatic artery chemotherapy.
We present the course of illness of a 56 year-old patient with acute gastrointestinal bleeding after penetration of an aneurysm of the hepatic artery in the duodenal bulb. A diffuse intrahepatic metastasis of a carcinoid was treated with a loco-regional intraarterial chemotherapy via a catheter system implanted in the gastroduodenal artery. Five months after the catheter implantation melena occurred. The gastrointestinal arterial bleeding from the penetrating aneurysm presented a life-threatening situation. This cause of bleeding could not be brought under control endoscopically. Immediate surgical management became necessary.
Pross
M
M
Department of Surgery, Otto-von-Guericke University Magdeburg. Matthias.Pross@medizin.uni-magdeburg.de
Ridwelski
K
K
Reiher
F
F
Lippert
H
H
D017542:Aneurysm, Ruptured / Q000150:complications / Q000209:etiology*; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D002276:Carcinoid Tumor / Q000188:drug therapy / Q000556:secondary; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006499:Hepatic Artery / Q000293:injuries; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000188:drug therapy / Q000556:secondary; D008875:Middle Aged
D000970:Antineoplastic Agents