Case Report


Management of rupture of incidental right hepatic artery aneurysm using angio-embolization

,  ,  ,  ,  ,  

1 Department of Surgery, Ipswich Hospital NHS Trust, Ipswich, IP4 5PD, UK

2 Department of Radiology, Ipswich Hospital NHS Trust, Ipswich, IP4 5PD, UK

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Abdelbari Gdeh

Department of Surgery, Ipswich Hospital NHS Trust, Ipswich, IP4 5PD,

UK

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Article ID: 100147Z12AG2024

doi: 10.5348/100147Z12AG2024CR

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How to cite this article

Gdeh A, El Beialy HA, Sinclair M, Ben Khadra T, Bassi N, Aghtarafi N. Management of rupture of incidental right hepatic artery aneurysm using angio-embolization. J Case Rep Images Surg 2024;10(2):36–39.

ABSTRACT


Hepatic artery aneurysms (HAAs) are a rare type of arterial aneurysm but are the second most common aneurysm of the splanchnic system after splenic artery aneurysms. Typically asymptomatic until rupture, symptomatic HAAs can present with a range of clinical signs, including dull abdominal pain, a palpable mass, obstructive jaundice, and, occasionally, gastrointestinal hemorrhage. For intrahepatic HAAs, embolization is the preferred treatment as it preserves liver vasculature due to collateral blood flows. In contrast, endovascular stenting is often the best option for aneurysms in the extrahepatic portion of the hepatic artery. Secondary management strategies may include prosthetic graft reconstruction, aneurysm excision, and surgical ligation.

Keywords: Hematoma angio-embolization, Hepatic artery aneurysm, Incidental rupture, Pancreatitis

SUPPORTING INFORMATION


Author Contributions

Abdelbari Gdeh - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Hesham A El Beialy - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Martin Sinclair - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Tariq Ben Khadra - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Nikhil Bassi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Natasha Aghtarafi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Abdelbari Gdeh et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.