[Obstructive jaundice secondary to hepatic artery aneurysm].
BACKGROUND
Aneurysm of the hepatic artery is relatively infrequent, representing 16-20% of aneurysms of the visceral arteries. Clinical presentation is nonspecific and may include abdominal pain, upper digestive system hemorrhage, or obstructive jaundice, as in the case presented here.


METHODS
We present the case of a 47-year-old patient referred to our service due to obstructive jaundice, verifying that the pathology was caused by an aneurysm of >7 cm in diameter in the hepatic artery. Despite elective treatment and intensive collaboration of different surgical specialists, the patient's prognosis was poor.


CONCLUSIONS
These types of aneurysms occur infrequently and with an uncertain prognosis. Therefore, individualized treatment for each case is necessary.


CONCLUSIONS
We must carefully select the approach that fits the needs of our patient. The endovascular route is often currently used. However, because of the complexity of the location of the injury, in some cases it is impossible and surgical intervention is necessary with trained hepatobiliary and vascular surgeons.
Suárez-Grau
Juan Manuel
JM
Servicio de Cirugía General, Hospital Universitario Virgen del Rocío, Seville, Spain. graugrau@hotmail.com
Rubio-Chaves
Carolina
C
Pareja-Ciuró
Felipe
F
Gómez-Bravo
Miguel Angel
MA
Diez-Canedo
Juan Serrano
JS
García-González
Inmaculada
I
D000783:Aneurysm / Q000150:complications*; D006499:Hepatic Artery; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008297:Male; D008875:Middle Aged