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

doi:10.1016/S1665-2681(19)31690-4

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)

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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 language	English
Pages (from-to)	104-106
Number of pages	3
Journal	Annals of Hepatology
Volume	9
Issue number	1
DOIs	https://doi.org/10.1016/S1665-2681(19)31690-4
Publication status	Published - 1 Dec 2010
Externally published	Yes

Keywords

Abdominal pain
Hepatic artery aneurysm
Stent graft
Symptomatic

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DeRuiter-Derksen2010endovascularFinal published version, 725 KBLicence: CC BY-NC-ND

Cite this

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title = "Endovascular treatment of a hepatic artery aneurysm causing chronic abdominal pain: a case report",

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.",

keywords = "Abdominal pain, Hepatic artery aneurysm, Stent graft, Symptomatic",

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T2 - a case report

AU - de Ruiter-Derksen, Gabrielle L.

AU - Bruijnen, Rutger G.C.

AU - Joosten, Frank

AU - Reijnen, Michel M.P.J.

PY - 2010/12/1

Y1 - 2010/12/1

N2 - 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.

AB - 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.

KW - Abdominal pain

KW - Hepatic artery aneurysm

KW - Stent graft

KW - Symptomatic

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

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