[Hepatic artery pseudoaneurysm following blunt abdominal injury].
Posttraumatic hepatic artery pseudoaneurysms are a rare but life-threatening complication of blunt abdominal trauma with liver damage. We report the case of a child who developed a pseudoaneurysm of the right hepatic artery after a bicycle accident with central liver rupture. After an episode of hemodynamically relevant hemobilia due to delayed bleeding, the asymptomatic pseudoaneurysm was diagnosed coincidentally by ultrasound. Because of the progression in size angiographic coiling was performed and led to thrombotic occlusion of the pseudoaneurysm. After a symptom-free period of 1 month the child required surgery because of acute cholecystitis.
Kinderchirurgie, Landes-, Frauen- und Kinderklinik Linz, Krankenhausstraße 26-30, A-4020, Linz, Österreich. kargl.simon@gmail.com
S
S
Kargl
J
J
Breitwieser
R
R
Gitter
W
W
Pumberger
D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D017541:Aneurysm, False / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D002648:Child; D003937:Diagnosis, Differential; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery