Upper Gastrointestinal Hemorrhage from Hepatic Artery Pseudoaneurysm Secondary to Trauma: A Case Report
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چکیده
Objective: We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm. Clinical Presentation and Intervention: An 11-yearold child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 ! 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiography confirmed the presence of a pseudoaneurysm of the right hepatic artery. Transcatheter arterial embolization was used to successfully treat the pseudoaneurysm. Conclusion: This report shows that hepatic artery pseudoaneurysm should be considered as a possible cause of upper gastrointestinal hemorrhage following known hepatic injury. A high index of suspicion, repeated Doppler ultrasound and timely selective angiography are required for diagnosis. Embolotherapy is the treatment of choice. Copyright © 2010 S. Karger AG, Basel
منابع مشابه
Upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm secondary to trauma: a case report.
OBJECTIVE We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm. CLINICAL PRESENTATION AND INTERVENTION An 11-year-old child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 × 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiogr...
متن کاملUpper Gastrointestinal Hemorrhage from Hepatic Artery Pseudoaneurysm Secondary to Trauma: A Case Report
Objective: We report a rare but serious case of upper gastrointestinal hemorrhage from hepatic artery pseudoaneurysm. Clinical Presentation and Intervention: An 11-yearold child with a history of hepatic trauma 6 months before was admitted for hematemesis and melena. Repeat ultrasound examination showed a 3.6 ! 2.8 cm anechoic area with clear border in the right hepatic lobe. Selective angiogra...
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