Year 2020 / Volume 112 / Number 12
Letter
A common hepatic artery aneurysm with splenic artery involvement: an unusual cause of abdominal pain

961-962

DOI: 10.17235/reed.2020.7132/2020

Victoria Lucas Guerrero, Raquel Lobato Gil, Francisco García Borobia,

Abstract
Forty-eight year old man with epigastric pain. CT scan shows a common hepatic artery aneurysm (HAA) of 4,6 cm in size with permeable portal vein. Angiography demonstrates that it affects from the beginning of the celiac trunk until hepatic arteries bifurcation, producing a proximal splenic artery stenosis. Proximal and distal embolization is done achieving a complete aneurysm occlusion. A stent is placed in celiac trunk in order to maintain splenic flow. Permeability of distal hepatic artery through choledochal arteries is observed in a month follow-up CT scan. HAA are infrequent but potentially lethal. Endovascular techniques should be considered of choice currently. HAA embolization has an elevated risk of hepatic ischemia.
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References
1. Gjoreski A, Risteski F, Damjanoski G. Successful Endovascular Treatment of a Giant Hepatic Artery Aneurysm with Dual Layer Stents Placement as Flow-Diverting Option: Case Report. Open Access Maced J Med Sci. 2019;7(3):403–6.
2. Erben Y, De Martino RR, Bjarnason H, et al. Operative management of hepatic artery aneurysms. J Vasc Surg. 2015;62(3):610–5.
3. Masuda K, Takenaga S, Morikawa K, et al. A case of giant common hepatic artery aneurysm successfully treated by transcatheter arterial embolization with isolation technique via pancreaticoduodenal arcade. Radiol Case Reports.2019;14(2):195–9.
4. Pareja E, Barber S, Montes H, et al. Aneurisma gigante de la arteria hepática: tratamiento en un caso poco frecuente. Gastroenterol Hepatol. 2014;1-3.
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Lucas Guerrero V, Lobato Gil R, García Borobia F. A common hepatic artery aneurysm with splenic artery involvement: an unusual cause of abdominal pain. 7132/2020


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Publication history

Received: 13/04/2020

Accepted: 15/04/2020

Online First: 23/11/2020

Published: 09/12/2020

Article Online First time: 224 days

Article editing time: 240 days


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