Document Detail

Hepatic artery aneurysm erosion into the stomach: an unusual cause of gastrointestinal bleeding.
MedLine Citation:
PMID:  18947965     Owner:  NLM     Status:  MEDLINE    
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.
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.
Department of Surgery, Nassau University Medical Center, East Meadow, New York 11554, USA.
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MeSH Terms
Aneurysm / complications*,  diagnosis,  radiography,  therapy
Embolization, Therapeutic
Gastrointestinal Hemorrhage / etiology*
Hepatic Artery*
Tomography, X-Ray Computed

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