title: Isolated hepatic artery injury in blunt abdominal trauma presenting as upper gastrointestinal bleeding: treatment with transcatheter embolisation.
abstract: Liver injury in blunt abdominal trauma is common. However, not often does blunt trauma cause injury to the anatomical structures of the porta hepatis. Isolated injury of the hepatic artery has been rarely reported in the literature. Such injury may be lethal and requires immediate diagnosis and management. This report describes an unusual case of blunt abdominal trauma resulting in hepatic and gastroduodenal artery dissection, with pseudoaneurysm formation complicated by active upper gastrointestinal bleeding. The injury was managed by transcatheter embolisation. Awareness of this diagnosis should facilitate management of similar trauma cases.
authors.affiliation: Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.
authors.forename: Bedros
authors.initials: B
authors.lastname: Taslakian
authors.forename: Ola
authors.initials: O
authors.lastname: Ghaith
authors.forename: Aghiad
authors.initials: A
authors.lastname: Al-Kutoubi
mesh_terms: D000328:Adult; D000792:Angiography; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006396:Hematemesis / Q000209:etiology; D006499:Hepatic Artery / Q000293:injuries*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications*