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

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

Research output: Contribution to journal › Article › peer-review

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 language	English
Pages (from-to)	247-254
Number of pages	8
Journal	Journal of Japanese Society of Gastroenterology
Volume	109
Issue number	2
Publication status	Published - 2012 Feb
Externally published	Yes

ASJC Scopus subject areas

Gastroenterology

Cite this

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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.",

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

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T1 - A case of hepatic artery aneurysm that had formed asymptomatically and penetrated into the duodenum

AU - Hatogai, Ken

AU - Nakazawa, Atsushi

AU - Takita, Maiko

AU - Kishino, Ryouhei

AU - Seki, Eri

AU - Iwasaki, Eisuke

AU - Izumiya, Motoko

AU - Maeda, Norio

AU - Motegi, Katsuhiko

AU - Mukai, Kiyoshi

AU - Tsukada, Nobuhiro

PY - 2012/2

Y1 - 2012/2

N2 - 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.

AB - 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.

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

Abstract

ASJC Scopus subject areas

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