Table of Contents    
Case Report
 
Hepatic artery aneurysm rupture presenting as an upper GI bleed: A case report
M Wayne1, C Wong1, J Kim1, B Gandolfi1, D Hudesman1, R Grossi1
1The Department of Surgery and Department of GI Medicine, Beth Israel Medical Center, New York, NY USA.

Article ID:100006IJHPDMW2012
doi:10.5348/ijhpd-2012-6-CR-4

Address correspondence to:
Dr. Michael Wayne
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Phone: 212-604-6822
Fax: 212-604-3383
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How to cite this article:
Wayne M, Wong C, Kim J, Gandolfi B, Hudesman D, Grossi R. Hepatic artery aneurysm rupture presenting as an upper GI bleed: A case report. International Journal of Hepathobiliary and Pancreatic Diseases 2012;2:15–19.


Abstract
Introduction: Hepatic artery aneurysms (HAAs) are a rare but a clinically important phenomenon. The natural history of HAA is poorly understood, however, it is suggested that mortality following spontaneous rupture is as high as 40%. Statistics such as these sanction an aggressive approach to the management of the HAA, whenever detected.
Case Report: We present a case of a 42-year-old old male who presented with two episodes of hematemesis. He underwent esophagogastroduodenoscopy (EGD) twice with control of bleeding, only to rebleed, and become unstable. A computed tomography (CT) angiogram demonstrated a hepatic artery aneurysm, which appeared to involve the duodenal bulb. The patient was taken emergently to the operating room for surgical repair of the hepatic artery aneurysm.
Conclusion: Hepatic artery aneurysms are a rare entity and even less common cause of gastro-intestinal bleeding.

Key Words: Bleeding, Duodenum, Hepatic, Artery

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Author Contributions:
M Wayne - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
C Wong - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
J Kim - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
B Gandolfi - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
D Hudesman - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
R Grossi - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© M Wayne et al. 2012; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)