Open AccessA common hepatic artery aneurysm with splenic artery involvement: an unusual cause of abdominal pain
Author(s) -
Victoria Lucas Guerrero,
Raquel Lobato Gil,
Francisco G. Borobia
Publication year - 2020
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2020.7132/2020
Subject(s) - medicine , common hepatic artery , splenic artery , radiology , epigastric pain , embolization , aneurysm , trunk , angiography , artery , occlusion , abdominal pain , stent , celiac artery , stenosis , surgery , ecology , biology , vomiting
Forty-eight year old man with epigastric pain. CT scan shows a common hepatic artery aneurysm (HAA) of 4,6 cm in size with permeable portal vein. Angiography demonstrates that it affects from the beginning of the celiac trunk until hepatic arteries bifurcation, producing a proximal splenic artery stenosis. Proximal and distal embolization is done achieving a complete aneurysm occlusion. A stent is placed in celiac trunk in order to maintain splenic flow. Permeability of distal hepatic artery through choledochal arteries is observed in a month follow-up CT scan. HAA are infrequent but potentially lethal. Endovascular techniques should be considered of choice currently. HAA embolization has an elevated risk of hepatic ischemia.