title: [An unusual cause of obstructive jaundice: giant gastroduodenal artery aneurysm].
abstract: 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.
authors: Servicio de Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España. samiaoufi@hotmail.com
authors: Sami
authors: S
authors: Aoufi
authors: José Manuel
authors: JM
authors: Herrera Justiniano
authors: Rebeca
authors: R
authors: García-Agudo
authors: Antonio
authors: A
authors: Garrido Serrano
authors: José Luis
authors: JL
authors: Márquez Galán
mesh_terms: 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