We present a unique case of hepatic artery pseudo aneurysm rupture associated with pneumonia. A 67 year old woman admitted to our hospital with productive cough, pleuritic chest pain and shortness of breath. She was diagnosed to have community acquired pneumonia and was treated with antibiotics. On third day of admission she developed acute abdominal pain and haemorrhagic shock. Contrast CT scan showed left hepatic artery pseudo aneurysm rupture, a rare emergency condition associated with high mortality rate. She underwent percutaneous endovascular coiling and made a complete recovery.
GuidaPM, MooreSW.Aneurysm of the hepatic artery. Report of five cases with a brief review of the previously reported cases. Surgery1966 Aug; 60(2): 299–310.
2.
PashaSF, GloviczkiP, StansonAW, KamathPS.Splanchnic artery aneurysms. Mayo Clin.Proc.2007 Apr; 82(4):472–479.
3.
AbbasMA, FowlRJ, StoneWM, PannetonJM, OldenburgWA, BowerTC.Hepatic artery aneurysm: factors that predict complications. J. Vasc. Surg.2003 Jul;38(1):41–45.
4.
IbachEG, O'HalloranMJ, PrendergastFJ.Hepatic artery aneurysm: two case reports and review of the literature. Aust.N.Z.J.Surg.1997 Feb-Mar;67(2-3): 143–147.
5.
FistourisJ, HerleniusG, BackmanL, OlaussonM, RizellM, MjornstedtL.Pseudoaneurysm of the hepatic artery following liver transplantation. Transplant. Proc.2006 Oct; 38 (8): 2679–2682.
NicholsonT, TravisS, EttlesD, DyetJ, SedmanP, WedgewoodK.Hepatic artery angiography and embolization for hemobilia following laparoscopic cholecystectomy. Cardiovasc. Intervent. Radiol.1999 Jan; 22 (1):20–24.
8.
SalujaSS, RayS, GulatiMS, PalS, SahniP, ChattopadhyayTK.Acute cholecystitis with massive upper gastrointestinal bleed: a case report and review of the literature. BMC Gastroenterol.2007 Mar 26; 7:12.
9.
Beeresha, GhotekarLH, DuttaTK, VermaSK, ElangovanS.Hepatic artery mycotic aneurysm of tubercular aetiology. J. Assoc. Physicians India2000 Feb;48(2):247–248.
FinleyDS, HinojosaMW, PayaM, ImagawaDK.Hepatic artery pseudoaneurysm: a report of seven cases and a review of the literature. Surg. Today2005; 35(7): 543–547.
17.
BerceliSA.Hepatic and splenic artery aneurysms. Semin. Vasc. Surg.2005 Dec;18(4):196–201.
18.
SalamTA, LumsdenAB, MartinLG, SmithRB3rd. Nonoperative management of visceral aneurysms and pseudoaneurysms. Am. J. Surg.1992 Sep;164(3):215–219.
