Ruptured Common Hepatic Artery Aneurysm Masquerading as an Intestinal Obstruction

Authors

  • Dr Bernard Ho Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  • Dr Yee Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  • Dr Nakhireen Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  • Dr Jecolyn Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  • Dr Shirley Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  • Dr Firdaus Hayati Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

Keywords:

acute abdomen, hepatic artery aneurysm, perforated viscus, ruptured aneurysm, visceral aneurysm

Abstract

Visceral artery aneurysms are uncommon but can present as life-threatening often fatal emergencies when ruptured. Hepatic artery aneurysms account for 20% of splanchnic artery aneurysms and are associated with a 25% rupture rate with 70%-100% mortality. We report a case of a 33-year-old male who presented with a 1-day history of severe epigastric pain associated with hypotension and anaemia with no clinical signs of overt bleeding nor history of trauma. Computed tomography abdomen and pelvis showed a ruptured saccular common hepatic aneurysm which was successfully embolized by our interventional radiologist.

Author Biographies

Dr Bernard Ho, Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Dr Yee, Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Dr Nakhireen, Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Dr Jecolyn, Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Dr Shirley, Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Department of Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia

Dr Firdaus Hayati, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

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Published

07.06.2023

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