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Hepatic artery aneurysm: an unusual cause for gastrointestinal haemorrhage

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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