A case of hepatic artery aneurysm that had formed asymptomatically and penetrated into the duodenum

Ken Hatogai, Atsushi Nakazawa, Maiko Takita, Ryouhei Kishino, Eri Seki, Eisuke Iwasaki, Motoko Izumiya, Norio Maeda, Katsuhiko Motegi, Kiyoshi Mukai, Nobuhiro Tsukada

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2 Citations (Scopus)

Abstract

A 41-year-old man was admitted to our hospital with gastrointestinal bleeding. Esophagogastroduodenoscopy revealed a submucosal protrusion with erosion in the duodenal bulb which was thought to be the bleeding source. Dynamic CT scan, ultrasonography and angiography of the abdomen revealed a hepatic artery aneurysm and a dilated celiac artery that dissected from its origin. Although we considered percutaneous transcatheter arterial embolization with metallic coils, we chose surgical resection and vascular reconstruction to prevent hepatic ischemia resulting from interruption of collateral circulation. On the 8 th day, hepatic artery aneurysmectomy and revascularization with a great saphenous vein was carried out without any severe complication. The pathological specimen demonstrated segmental arterial mediolysis.

Original languageEnglish
Pages (from-to)247-254
Number of pages8
JournalJournal of Japanese Society of Gastroenterology
Volume109
Issue number2
Publication statusPublished - 2012 Feb 1
Externally publishedYes

ASJC Scopus subject areas

  • Gastroenterology

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    Hatogai, K., Nakazawa, A., Takita, M., Kishino, R., Seki, E., Iwasaki, E., Izumiya, M., Maeda, N., Motegi, K., Mukai, K., & Tsukada, N. (2012). A case of hepatic artery aneurysm that had formed asymptomatically and penetrated into the duodenum. Journal of Japanese Society of Gastroenterology, 109(2), 247-254.