Upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm secondary to trauma: a case report.
OBJECTIVE
We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm.


METHODS
An 11-year-old child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 × 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiography confirmed the presence of a pseudoaneurysm of the right hepatic artery. Transcatheter arterial embolization was used to successfully treat the pseudoaneurysm.


CONCLUSIONS
This report shows that hepatic artery pseudoaneurysm should be considered as a possible cause of upper gastrointestinal hemorrhage following known hepatic injury. A high index of suspicion, repeated Doppler ultrasound and timely selective angiography are required for diagnosis. Embolotherapy is the treatment of choice.
Luo
Xiaofang
X
Department of Digestive System, Renmin Hospital of Wuhan University, Wuhan, PR China.
Tan
Shiyun
S
Wang
Junyu
J
Qian
Cuijuan
C
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D002648:Child; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006499:Hepatic Artery; D006801:Humans; D008099:Liver / Q000293:injuries*; D008297:Male; D013272:Stomach Diseases / Q000209:etiology*; D014463:Ultrasonography