Jia F, Xia G, Zhu Q, Yu S, Hu N, Zhang H. Hepatic artery pseudoaneurysm caused by chronic pancreatitis: Case report and literature review.
Medicine (Baltimore) 2023;
102:e32834. [PMID:
36749241 PMCID:
PMC9901987 DOI:
10.1097/md.0000000000032834]
[Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
RATIONALE
Visceral artery pseudoaneurysm is a rare complication of chronic pancreatitis (CP), all pancreatic or peripancreatic arteries have been reported to be involved, while hepatic artery is less common.
PATIENT CONCERNS
This case report illustrated a 42-year-old man with CP who developed right hepatic artery pseudoaneurysm (HAP), and finally he was treated with intravascular embolization.
DIAGNOSES
The patient suffered from HAP due to acute attack of CP.
INTERVENTIONS
The pseudoaneurysm located in a fine branch of right hepatic artery was embolized.
OUTCOMES
The HAP of the patient was cured. He had no recurrent bloody stool or abdominal pain. The symptoms gradually relieved.
CONCLUSION
Herein, we report a patient with CP who developed right HAP causing infected hematoma, gastrointestinal bleeding, and obstructive jaundice, and a literature review is also presented. HAP caused by CP is a rare disease in the clinic, but rupture of pseudoaneurysm is fatal. Careful evaluation, early detection, and prompt treatment should be performed when the patient is admitted and followed up.
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