Department of Vascular Medicine and Surgery, Homobono B. Calleja Heart and Vascular Institute, Quezon City, Philippines
Case Report
Hepatic Artery Aneurysms in Polyarteritis Nodosa: A Panoramic Mini Review
Author(s): Patrick Vera Cruz*
Introduction: Hepatic Artery Aneurysms (HAAs) are rare vascular abnormalities with a high rupture and mortality rates.
Clinical presentation: We are presented with a case of a 25-year-old female with no known comorbidities who sought consult for recurrent cramping abdominal pain, lower extremity discomfort, nausea and vomiting. She was initially managed as acid reflux disease, however, symptom recurrence despite treatment prompted further workup.
Diagnosis and management: CT aerogram and invasive angiography showed a large saccular aneurysm from the hepatic artery proper and collateral blood vessels from the gastroduodenal artery supplying the right and left lobes of the liver. After thorough discussion team, high dose IV steroids were given and then she underwent open surgical resection of the aneurysm with biopsy.. View more»