Journal of Postgraduate Medicine
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Early presentation of ruptured post-traumatic hepatic artery pseudoaneurysm


 Department of General Surgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
MS Patel,
Department of General Surgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0022-3859.234898

PMID: 29943746

Visceral artery aneurysms (VAA) are an uncommon but well recognized condition. Hepatic artery aneurysms (HAA) represent 14-20% of all visceral artery aneurysms. Post traumatic hepatic artery pseudoaneurysm is an uncommon delayed complication of blunt liver trauma. Here we present a case of a 27 year old male with blunt abdominal trauma who developed a post traumatic pseudoaneurysm of the hepatic artery just proximal to its bifurcation into the left and right branches. The pseudoaneurysm ruptured within 12 hours of injury and he required double ligation of the hepatic artery as well as right and left hepatic arteries . However, the bleeding continued through the retrograde flow from the gastroduodenal artery and hence, ligation of gastrodudenal artery was also done. The decision of complete devasularisation of liver was taken as an emergency lifesaving procedure. The patient recovered and was discharged without sequel.


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    -  Patel M S
    -  Shetty V
    -  Shelake A
    -  Deshpande A A
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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow