Document Detail


Rupture of hepatic artery aneurysm associated with ischemic hepatitis.
MedLine Citation:
PMID:  20927149     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Hepatic artery aneurysms are scarcely reported, mainly because of non-specific symptoms. More often, they are incidental findings during imaging studies to investigate other acute or chronic abdominal conditions. These aneurysms are usually detected in the sixth decade of life, predominantly among males. We report the case of a 69 year-old female with an unsuspected huge hepatic artery aneurysm associated with ischemic hepatitis. Suspicion of aneurysm arose during imaging studies to clarify the origin of jaundice and abdominal pain. After establishment of the diagnosis, but before open surgery, there was a spontaneous rupture of the aneurysm, which caused hemoperitoneum and death. The necropsy study confirmed ischemic hepatitis. Hepatic artery aneurysms are second among the visceral aneurysms, and may cause abdominal pain, jaundice, and hemorrhagic events. One should suspect abdominal aneurysms in elderly patients with unclear abdominal pain, and this hypothesis should be ruled out by imaging studies.
Authors:
Vitorino Modesto dos Santos; R B Villaça; A C A Almeida; E R N C Oliveira; P R M Nogueira Junior; E A M Damasceno
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anales del sistema sanitario de Navarra     Volume:  33     ISSN:  1137-6627     ISO Abbreviation:  An Sist Sanit Navar     Publication Date:    2010 May-Aug
Date Detail:
Created Date:  2010-10-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9710381     Medline TA:  An Sist Sanit Navar     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  221-5     Citation Subset:  IM    
Affiliation:
Catholic University Medical Course. vitorinomodesto@gmail.com
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