Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization
Hepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that o...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/8835573 |
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| author | Jorge E. Sandelis-Pérez Andrés Córdova-Toro Steven García-Santiago Erica G. Otero-Cárdenas Pedro Gil de Rubio-Cruz Suheiry Márquez-Márquez Mary J. Rodríguez-Malavé Arelis Febles-Negrón José A. Colon-Márquez Alejandro Hidalgo-Ríos |
| author_facet | Jorge E. Sandelis-Pérez Andrés Córdova-Toro Steven García-Santiago Erica G. Otero-Cárdenas Pedro Gil de Rubio-Cruz Suheiry Márquez-Márquez Mary J. Rodríguez-Malavé Arelis Febles-Negrón José A. Colon-Márquez Alejandro Hidalgo-Ríos |
| author_sort | Jorge E. Sandelis-Pérez |
| collection | DOAJ |
| description | Hepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that on her second hospital day developed sudden hemodynamic instability, abdominal pain, fatigue, skin-mucosa pallor, and anemia. Abdominal CT scan with contrast showed a left hepatic artery pseudoaneurysm associated with extensive hemoperitoneum. Patient required emergent hemodynamic stabilization and finally was treated successfully with a superselective endovascular coil embolization. Our patient represents an atypical case of a spontaneous rupture of an idiopathic hepatic artery pseudoaneurysm. Hence, the importance of having a high index of clinical suspicion. Endovascular coil embolization has become the first-line treatment. |
| format | Article |
| id | doaj-art-0b84ffe28df04733bec521e917fb9141 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-0b84ffe28df04733bec521e917fb91412025-02-03T06:46:40ZengWileyCase Reports in Vascular Medicine2090-69862090-69942020-01-01202010.1155/2020/88355738835573Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil EmbolizationJorge E. Sandelis-Pérez0Andrés Córdova-Toro1Steven García-Santiago2Erica G. Otero-Cárdenas3Pedro Gil de Rubio-Cruz4Suheiry Márquez-Márquez5Mary J. Rodríguez-Malavé6Arelis Febles-Negrón7José A. Colon-Márquez8Alejandro Hidalgo-Ríos9Internal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoInternal Medicine Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoRadiology Department, University of Puerto Rico-Medical Sciences Campus, San Juan, Puerto RicoHepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that on her second hospital day developed sudden hemodynamic instability, abdominal pain, fatigue, skin-mucosa pallor, and anemia. Abdominal CT scan with contrast showed a left hepatic artery pseudoaneurysm associated with extensive hemoperitoneum. Patient required emergent hemodynamic stabilization and finally was treated successfully with a superselective endovascular coil embolization. Our patient represents an atypical case of a spontaneous rupture of an idiopathic hepatic artery pseudoaneurysm. Hence, the importance of having a high index of clinical suspicion. Endovascular coil embolization has become the first-line treatment.http://dx.doi.org/10.1155/2020/8835573 |
| spellingShingle | Jorge E. Sandelis-Pérez Andrés Córdova-Toro Steven García-Santiago Erica G. Otero-Cárdenas Pedro Gil de Rubio-Cruz Suheiry Márquez-Márquez Mary J. Rodríguez-Malavé Arelis Febles-Negrón José A. Colon-Márquez Alejandro Hidalgo-Ríos Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization Case Reports in Vascular Medicine |
| title | Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization |
| title_full | Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization |
| title_fullStr | Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization |
| title_full_unstemmed | Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization |
| title_short | Life-Threatening Rupture of an Idiopathic Left Hepatic Artery Pseudoaneurysm Successfully Treated with Endovascular Coil Embolization |
| title_sort | life threatening rupture of an idiopathic left hepatic artery pseudoaneurysm successfully treated with endovascular coil embolization |
| url | http://dx.doi.org/10.1155/2020/8835573 |
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