Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report

Introduction: Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction. Case Report: This report describes a 70-year-old female who presented to the emergency department with Quincke tri...

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Bibliographic Details
Main Authors: Courtney Wham, Daria Nicke, Justin Burman, Robert Meller, Premal Trivedi, Andra Farcas
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2025-04-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/25d453gg
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Summary:Introduction: Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction. Case Report: This report describes a 70-year-old female who presented to the emergency department with Quincke triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding) and was diagnosed with multiple hepatic artery pseudoaneurysms with a thrombosed fistulous connection to the biliary system. She was treated effectively with extensive embolization and biliary stenting. Conclusion: This case underscores the importance of early diagnosis and highlights the role of multidisciplinary intervention in preventing life-threatening complications from hepatic artery aneurysms.
ISSN:2474-252X