Aneurysm of the hepatic artery

Alimentary Bleeding of Obscure Origin

“…One such case in this series was diagnosed gastroscopically. This type of circoid aneurysm has been reported by Donaldson and Hamlin (1950 Malloy and Jason (1942), Gordon-Taylor (1943), and McGregor (1952). In these patients pain simulating gall-stones, haematemesis, and jaundice may occur as a triad.…”

“…An aneurysm bleeding into the biliary tract may also cause haematemesis and melaena. Aneurysm of the hepatic artery rupturing into the bile duct has been reported by Malloy and Jason (1942), Gordon-Taylor (1943), andMcGregor (1952). In these patients pain simulating gall-stones, haematemesis, and jaundice may occur as a triad.…”

Rare Cause of Severe Gastro-intestinal Haemorrhage

“…The clinical triad associated with aneurysm of the hepatic artery are pain, haemorrhage, and jaundice (Malloy and Jason, 1942). The case presented in this communication showed no jaundice, and post-mortem scrutiny failed to reveal any compression of the extrahepatic biliary tract, which indeed during life permitted a steady flow of blood into the duodenum.…”

Hepatic artery aneurysm after staphylococcal endocarditis.

“…This diagnosis should nevertheless be considered in patients with abdominal pain and gastrointestinal bleeding when routine investigations fail to find the source. This is especially so when there is jaundice or a known predisposing factor such as septicaemia, bacterial endocarditis, arteriosclerosis, hereditary telangiectasia, gallbladder disease, trauma, or previous biliary surgery (Malloy and Jason, 1942 ;Condon et at., 1967). Retrograde angiography (Kirklin et al, 1955) is essential in all suspected cases, as onethird of such aneurysms are intrahepatic and can be diagnosed only by this method.…”