title: Spontaneous rupture of the hepatic artery in a patient with type 1 neurofibromatosis treated by embolization: a case report.
abstract: We report the case of a 48-year-old man with neurofibromatosis presenting with sudden-onset abdominal pain, profound hypotension, and a drop in hemoglobin. CT scan demonstrated a massive hematoma within the right lobe of the liver with rupture into the peritoneal cavity. Angiography demonstrated diffuse abnormalities of the hepatic circulation with fusifom, ectatic, and stenotic segments. Acute extravasation from a peripheral branch of the right hepatic artery was identified and successfully embolized with subsequent hemodynamic stabilization of the patient. To the best of our knowledge this is the first case report of this kind in a patient with type I neurofibromatosis.
authors.affiliation: Department of Surgery, Royal Shrewsbury Hospital, Mytton Oak Road, Shrewsbury, SY 3 8XQ, UK. wunnava64@yahoo.co.uk
authors.forename: V
authors.initials: V
authors.lastname: Rao
authors.forename: C P
authors.initials: CP
authors.lastname: Day
authors.forename: N
authors.initials: N
authors.lastname: Manimaran
authors.forename: R A
authors.initials: RA
authors.lastname: Hurlow
authors.forename: R
authors.initials: R
authors.lastname: Orme
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D004621:Embolization, Therapeutic / Q000379:methods*; D017809:Fatal Outcome; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology; D006454:Hemoglobins / Q000032:analysis; D006499:Hepatic Artery / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D008099:Liver / Q000000981:diagnostic imaging; D008102:Liver Circulation; D008297:Male; D008875:Middle Aged; D017253:Neurofibromatoses / Q000150:complications*; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed / Q000379:methods; D014652:Vascular Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy*
chemical_list: D006454:Hemoglobins