Endovascular treatment of a hepatic artery aneurysm causing chronic abdominal pain: a case report

Gabrielle L. de Ruiter-Derksen, Rutger G.C. Bruijnen, Frank Joosten, Michel M.P.J. Reijnen (Corresponding Author)

Research output: Contribution to journalArticleAcademicpeer-review

6 Citations (Scopus)
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Abstract

Background: Aneurysms of the visceral arteries are rare but potentially lethal lesions. We describe a case of a successful endovascular exclusion of a hepatic artery aneurysm in a patient that suffered from chronic abdominal pain.

Case Report: A 68-year old man presented with chronic abdominal pain that had existed for 10 months. A diagnostic contrast-enhanced CT scan showed an 18 mm atherosclerotic aneurysm of the hepatic artery. When other pathology was excluded the aneurysm was excluded using an ePTFE-cove-red nitinol stent graft. Post-deployment angiograms showed a complete exclusion of the aneurysm. The abdominal complaints immediately resolved. After a follow-up period of 18 months patient had a patent en-dograft and remained free of symptoms.

Conclusions:Small hepatic artery aneurysms may cause chronic recurrent abdominal pain and can be safely excluded using a covered stent graft.

Original languageEnglish
Pages (from-to)104-106
Number of pages3
JournalAnnals of Hepatology
Volume9
Issue number1
DOIs
Publication statusPublished - 1 Dec 2010
Externally publishedYes

Keywords

  • Abdominal pain
  • Hepatic artery aneurysm
  • Stent graft
  • Symptomatic

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