title: Ruptured aneurysm of replaced left hepatic artery as a cause of haemorrhagic shock: a challenge of diagnosis and treatment.
abstract: An isolated, spontaneous, ruptured aneurysm of the replaced left hepatic artery (LHA) arising from the left gastric artery, in a 72-year-old female, leading to haemorrhagic shock treated by surgical ligation is reported. To our best knowledge, this is the second case report of a ruptured hepatic artery aneurysm in this location. A thorough knowledge of hepatic arterial anatomy and variations, and prompt diagnosis and urgent surgical intervention are necessary in such a potentially lethal condition.
authors.affiliation: Department of General Surgery and Transplantation, Baskent University, Faculty of Medicine, Istanbul Hospital, Istanbul, Turkey. gulumaltaca@gmail.com
authors.forename: Gulum
authors.initials: G
authors.lastname: Altaca
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D005260:Female; D006499:Hepatic Artery / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D008026:Ligation; D012771:Shock, Hemorrhagic / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures