[An unusual cause of obstructive jaundice: giant gastroduodenal artery aneurysm].
Visceral artery aneurysms are rare vascular lesions. Hepatic aneurysms are the second most common type of visceral aneurysm after those of the splenic artery. These aneurysms often have a nonspecific clinical presentation and are difficult to diagnose before rupture. Because the natural course of hepatic aneurysms leads to rupture, with a high rate of morbidity and mortality, their early diagnosis is essential for surgical correction. We report a case of obstructive jaundice caused by a 7-cm gastroduodenal artery aneurysm in which the diagnosis was suggested by abdominal computed tomography and magnetic resonance cholangiography and was confirmed by angiography. The patient was surgically treated. In the following 48 h he presented ischemic-based acute hepatic failure and underwent left hepatic lobe resection. The patient finally died from a pulmonary thromboembolism.
Aoufi
Sami
S
Servicio de Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España. samiaoufi@hotmail.com
Herrera Justiniano
José Manuel
JM
García-Agudo
Rebeca
R
Garrido Serrano
Antonio
A
Márquez Galán
José Luis
JL
D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001158:Arteries; D049448:Cholangiopancreatography, Magnetic Resonance; D004386:Duodenum / Q000098:blood supply*; D006498:Hepatectomy; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D007813:Laparotomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011860:Radiography, Abdominal; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed