Spontaneous rupture of intrahepatic artery aneurysm with complicated vascular anomalies |
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| Authors: | Tsutomu Namieno Yoshinobu Hata MD Junichi Uchino Hiroshi Kondoh Takemi Shibata Tatsuya Satoh |
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| Institution: | (1) The First Department of Surgery, Hokkaido University School of Medicine, Kita-15, Nishi-7, Kita-ku, 060 Sapporo, Japan;(2) The Department of Surgery, Megumino General Hospital, Eniwa, Japan |
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| Abstract: | An 18-year-old man developed a sudden onset of upper abdominal pain with vomiting. Ul-trasound and computed tomographic (CT) scans revealed the spontaneous rupture of an intrahepatic artery aneurysm with subcapsular hematoma. A celiac arteriogram demonstrated a ruptured intrahepatic artery aneurysm in the right lobe of the liver, right extrahepatic artery aneurysm, obliteration of gastroduodenal artery, and abnormal flow pattern of the splenic artery. Portal vein phase, using superior mesenteric arteriography, showed portal vein varices and obliteration of the portal trunk. A right hepatic lobectomy was performed. The cut surface of the resected liver revealed a ruptured intrahepatic artery aneurysm with massive hematoma. |
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| Keywords: | Aneurysm hepatic artery Intrahepatic artery rupture |
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