title: Hepatic Artery Pseudoaneurysm; Simple or Difficult to Diagnose?
abstract: Ruptured hepatic artery pseudoaneurysm (HAP) generally leads to the hemobilia and can be diagnosed by endoscopy. This condition mostly occurs after an iatrogenic trauma. The management of the HAP is still a big challenge. Due to an increased rate of HAP cases over the last decade, appropriate management is necessary for the optimal outcomes achievement. Here, we report a 59-year-old woman presenting with hematemesis, melena, hematochezia, and epigastric pain. The CT scan of the abdomen showed intrahepatic biliay dilation with hypodense material, probably a clot inside it. Subsequently, the patient was transferred to an angiography unit. Celiac artery angiography demonstrated a right hepatic artery pseudoaneurysm, which subsequently embolized.
authors.affiliation: Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Kiandokht
authors.initials: K
authors.lastname: Bashiri
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. nroshan@tums.ac.ir.
authors.forename: Nader
authors.initials: N
authors.lastname: Roushan
authors.affiliation: Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyyed Mohammadtaghi
authors.initials: SM
authors.lastname: Hamidian
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006431:Hemobilia / Q000150:complications*; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed