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Hepatic artery aneurysm: an unusual cause for gastrointestinal haemorrhage
  1. H S Narula1,
  2. A Kotru2,
  3. A Nejim2
  1. 1Chesterfield Royal and North Derbyshire Hospital NHS Trust, Chesterfield, Derbyshire, UK
  2. 2Airedale General Hospital, Keighley, North Yorkshire, UK
  1. Correspondence to:
 Mr H S Narula
 69, Christchurch Close, Edgbaston, Birmingham, B15 3NE, UK; narula28hotmail.com

Abstract

Aneurysms of the hepatic artery are rare. The presenting features include abdominal pain, which may be associated with a mass. More acutely, patients present with signs of hypovolaemia secondary to rupture. The patient reported here presented with gastrointestinal haemorrhage of unknown aetiology. A computed tomography scan showed an aneurysm of a visceral artery. Subsequent angiography confirmed the presence of a leak in the hepatic artery. The patient refused surgical intervention and improved with supportive treatment only.

  • angiography
  • hepatic artery aneurysm
  • gastro-intestinal haemorrhage
  • leaking aneurysm
  • rectal bleeding

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Footnotes

  • Competing interests: none declared