Document Detail


Hepatic artery aneurysm erosion into the stomach: an unusual cause of gastrointestinal bleeding.
MedLine Citation:
PMID:  18947965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Hepatic artery aneurysms are the second most common visceral aneurysms. The natural history of hepatic artery aneurysms typically results in enlargement, rupture, and life-threatening hemorrhage. Atherosclerosis, traditionally, has been the most common cause of hepatic artery aneurysm. OBJECTIVE: A case of a hepatic artery aneurysm invading the stomach is presented to draw attention to the clinical presentation of this potentially catastrophic entity. CASE REPORT: A 74-year-old man presented to the Emergency Department (ED) with hematemesis. He was hemodynamically stable with a hemoglobin of 10.5. Abdominal CT imaging revealed a hepatic artery aneurysm that eroded into the stomach. The erosion was successfully repaired operatively and the aneurysm was embolized. CONCLUSION: The most common symptom is epigastric pain. The clinical and radiological findings of a hepatic artery aneurysm eroding into the stomach with subsequent upper and lower gastrointestinal hemorrhage, as highlighted in the case reported, have received little prior attention in the medical literature.
Authors:
Sotirios Papafragkou; Lioudmila Haimovici; Edwin Gonzalez; Leonard Barrett; Elizabeth Cirincione
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-10-23
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  39     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-12     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  32-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Surgery, Nassau University Medical Center, East Meadow, New York 11554, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / complications*,  diagnosis,  radiography,  therapy
Embolization, Therapeutic
Gastrointestinal Hemorrhage / etiology*
Hepatic Artery*
Humans
Male
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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