Hepatic artery aneurysm: An ultrasound diagnosis

Paolella, Landy P.; Scola, Francis H.; Cronan, John J.

doi:10.1002/jcu.1870130515

Cited by 14 publications

(4 citation statements)

References 7 publications

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“…The aneurysm can appear as a mixed echogenic mass with varying proportions of cystic and solid components, depending on the extent of thrombosis. Calcifications can occasionally be seen in the wall [8][9][10]. Doppler ultrasound can aid in differentiating vascular from other types of masses.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Treatment of Unresectable Hepatocelluar Carcinoma and Hepatic Artery Aneurysm, Case Report

Hashim

Salem

2009

J Gastrointest Canc

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Hepatic artery aneurysms are uncommon lesions that have varied clinical presentations. Early diagnosis is essential because the natural tendency of the lesion is to rupture into peritoneal cavity or surrounding organs. Chemoembolization has become the mainstay of treatment for patients with unresectable HCC. Our case is notable, because atherosclerotic aneurysms of the hepatic artery are extremely rare with very few cases reported so far and to diagnose a hepatic artery aneurysm and to treat it in one setting with chemoembolization of unresectable HCC without rupture of the aneurysm is also unusual.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Treatment of Unresectable Hepatocelluar Carcinoma and Hepatic Artery Aneurysm, Case Report

Hashim

Salem

2009

J Gastrointest Canc

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“…CT has been reported useful in the diagnosis of splenic (16,17), hepatic (18)(19)(20)(21)(22), superior mesenteric (23), and gastroduodenal (24) artery aneurysms and PAs. Sonography has likewise proved useful in the diagnosis of splenic (25), hepatic (26)(27)(28)(29)(30), superior mesenteric (31,32), and celiac (33) artery aneurysms and PAs. In renal allografts PAs have traditionally been diagnosed with angiography, but they may also be detected with sonography (12,13) and CT (34).…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysms Complicating Organ Transplantation: Roles of CT, Duplex Sonography, and Angiography

1989

Journal of Diagnostic Medical Sonography

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In a retrospective study of proved pseudoaneurysms (PAs) in 15 patients with transplanted organs (11 liver, three kidney, one pancreas), the results of computed tomography (CT), duplex sonography, and angiography were reviewed. Of the 15 cases of PA, eight occurred at the arterial anastomosis and seven were nonanastomotic. Three of the eight anastomotic PAs were caused by infection. Of the seven nonanastomotic PAs, four were caused by percutaneous biopsy, two were caused by infection, and one was of undetermined cause. In nine (60%) of the 15 patients the PAs were incidentally detected at imaging studies performed for other reasons. Diagnosis requires a high degree of suspicion. CT was performed in nine cases and duplex sonography in ten. The diagnosis of PA was made with CT in six (67%) patients and with duplex sonography in five (50%). CT and duplex sonography could not enable diagnosis when the PA was small, when the arterial anastomosis was not included in the field of study, or when enhancement with intravenously administered contrast material was suboptimal. Angiography depicted the PAs in all 15 patients. In three liver transplant recipients with gastrointestinal tract bleeding, the causative PAs were detected only with angiography.

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Section: Discussionmentioning

confidence: 99%

Pseudoaneurysms complicating organ transplantation: roles of CT, duplex sonography, and angiography.

Tobben¹,

Zajko²,

Sumkin³

et al. 1988

Radiology

103

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In a retrospective study of proved pseudoaneurysms (PAs) in 15 patients with transplanted organs (11 liver, three kidney, one pancreas), the results of computed tomography (CT), duplex sonography, and angiography were reviewed. Of the 15 cases of PA, eight occurred at the arterial anastomosis and seven were nonanastomotic. Three of the eight anastomotic PAs were caused by infection. Of the seven nonanastomotic PAs, four were caused by percutaneous biopsy, two were caused by infection, and one was of undetermined cause. In nine (60%) of the 15 patients the PAs were incidentally detected at imaging studies performed for other reasons. Diagnosis requires a high degree of suspicion. CT was performed in nine cases and duplex sonography in ten. The diagnosis of PA was made with CT in six (67%) patients and with duplex sonography in five (50%). CT and duplex sonography could not enable diagnosis when the PA was small, when the arterial anastomosis was not included in the field of study, or when enhancement with intravenously administered contract material was suboptimal. Angiography depicted the PAs in all 15 patients. In three liver transplant recipients with gastrointestinal tract bleeding, the causative PAs were detected only with angiography.

show abstract

Hepatic artery aneurysm: An ultrasound diagnosis

Cited by 14 publications

References 7 publications

Simultaneous Treatment of Unresectable Hepatocelluar Carcinoma and Hepatic Artery Aneurysm, Case Report

Simultaneous Treatment of Unresectable Hepatocelluar Carcinoma and Hepatic Artery Aneurysm, Case Report

Pseudoaneurysms Complicating Organ Transplantation: Roles of CT, Duplex Sonography, and Angiography

Pseudoaneurysms complicating organ transplantation: roles of CT, duplex sonography, and angiography.

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