Archives of Trauma Research Archives of Trauma Research Arch Trauma Res http://www.archtrauma.com 2251-953X 2251-9599 10.5812/atr. en jalali 2018 1 22 gregorian 2018 1 22 6 2
en 10.5812/atr.40787 Intrahepatic Artery Pseudoaneurysm as a Delayed Presentation of Blunt Abdominal Trauma Intrahepatic Artery Pseudoaneurysm as a Delayed Presentation of Blunt Abdominal Trauma case-report case-report

Arterial pseudoaneurysm is an uncommon life-threatening complication in blunt trauma patients. Blunt liver injury may lead to hepatic artery pseudoaneurysm. Radiological intervention is the method of choice in diagnosis and treatment of hepatic artery pseudoaneurysm. However, surgical intervention is advised for unstable patients with large leaking defects. This study reports a case of 53-year-old female who was admitted with vague abdominal pain. She had experienced a blunt abdominal trauma a year ago and had gone under liver packing procedure. The CT-scan results showed hematoma in RUQ region and leaking pseudoaneurysm of right hepatic artery. Hematoma was drained and partial liver resection and hepatic arterioraphy were done through laparotomy.

Arterial pseudoaneurysm is an uncommon life-threatening complication in blunt trauma patients. Blunt liver injury may lead to hepatic artery pseudoaneurysm. Radiological intervention is the method of choice in diagnosis and treatment of hepatic artery pseudoaneurysm. However, surgical intervention is advised for unstable patients with large leaking defects. This study reports a case of 53-year-old female who was admitted with vague abdominal pain. She had experienced a blunt abdominal trauma a year ago and had gone under liver packing procedure. The CT-scan results showed hematoma in RUQ region and leaking pseudoaneurysm of right hepatic artery. Hematoma was drained and partial liver resection and hepatic arterioraphy were done through laparotomy.

Hepatic Artery;Pseudoaneurysm;Blunt Abdominal Trauma Hepatic Artery;Pseudoaneurysm;Blunt Abdominal Trauma http://www.archtrauma.com/index.php?page=article&article_id=40787 Behnam Sanei Behnam Sanei General Surgery Specialist, Pancreatic and Hepatobiliary and Transplant Subspecialist, Assistant Professor, Isfahan University of Medical Sciences, Isfahan, IR Iran General Surgery Specialist, Pancreatic and Hepatobiliary and Transplant Subspecialist, Assistant Professor, Isfahan University of Medical Sciences, Isfahan, IR Iran Mohsen Kolahdouzan Mohsen Kolahdouzan General Surgery Specialist, Thoracic Surgery Subspecialist, Associate Professor of Isfahan University of Medical Sciences, Isfahan, IR Iran; General Surgery Specialist, Thoracic Surgery Subspecialist, Associate Professor of Isfahan University of Medical Sciences, Isfahan, IR Iran General Surgery Specialist, Thoracic Surgery Subspecialist, Associate Professor of Isfahan University of Medical Sciences, Isfahan, IR Iran; General Surgery Specialist, Thoracic Surgery Subspecialist, Associate Professor of Isfahan University of Medical Sciences, Isfahan, IR Iran Hamid Reza Jafari Hamid Reza Jafari MD, Department of General Surgery, Isfahan University of Medical Sciences, Isfahan, IR Iran MD, Department of General Surgery, Isfahan University of Medical Sciences, Isfahan, IR Iran