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Sonographic diagnosis of a giant aneurysm of the common hepatic artery
Author(s) -
Bachar Gil Nissim,
Belenky Alexander,
Lubovsky Lubov,
NeumanLevine Margalit
Publication year - 2002
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10077
Subject(s) - medicine , radiology , angiography , abdomen , aneurysm , ascites , epigastric pain , hemoperitoneum , surgery , vomiting
Hepatic artery aneurysms are rare vascular lesions sometimes found incidentally during abdominal imaging. We present the case of a 61‐year‐old man whose initial symptoms were tenderness in the right upper quadrant of the abdomen and epigastric pain. Gray‐scale sonography revealed ascites and an 8.1‐cm mass in the region of the porta hepatis; color Doppler sonography revealed a turbulent arterial waveform with high peak systolic velocity. We diagnosed a giant aneurysm of the common hepatic artery. Three‐dimensional CT angiography confirmed this diagnosis and also revealed hemoperitoneum. The patient underwent aneurysmectomy and recovered well. This case shows that the use of both sonography and CT angiography offers a promising alternative to conventional angiography for the diagnosis of and treatment planning for hepatic artery aneurysms. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 30:300–302, 2002; Published online in Wiley InterScience (www. interscience.wiley.com). DOI: 10.1002/jcu.10077