Hepatic artery aneurysm: an unusual cause for gastrointestinal haemorrhage

Gastrointestinal hemorrhage caused by rupture of a pseudoaneurysm of the hepatic artery

“…Rupture occurs into the biliary tract, the peritoneal cavity, or gastrointestinal tract. Gastrointestinal hemorrhage caused by rupture of HAAs is rare but has been reported (8)(9)(10)(11)(12). In these case reports, gastrointestinal endoscopy revealed no significant abnormality, and HAA was diagnosed on ultrasonography, CT scan, or angiography, as was the case in our patient.…”

“…During the last decade, the most commonly used technique for treating HAAs has been percutaneous catheter-based embolization (37%) (7). Gastrointestinal hemorrhage caused by rupture of a HAA is rare, but it has been reported (8)(9)(10)(11)(12). We report an unusual case of a patient with intrahepatic HAPA who presented with gastrointestinal hemorrhage.…”

Hepatic artery aneurysm: an unusual cause of upper gastrointestinal bleed

“…The true incidence of HAA is not known but thought to be around 0.002% of the population 1. They are often asymptomatic and detected incidentally; however, they may present with abdominal pain, a mass, hypovolaemia secondary to rupture or GI bleeding with a normal oesophagogastroduodenoscopy (OGD) 2. Causes of HAA include atherosclerosis, inflammation (such as vasculitis) or iatrogenic (for instance during angiography).…”

“…Causes of HAA include atherosclerosis, inflammation (such as vasculitis) or iatrogenic (for instance during angiography). They may also be idiopathic 2. Delay in diagnosis may lead to life-threatening haemorrhage 3.…”

Hepatic Artery Aneurysm Erosion into the Stomach: An Unusual Cause of Gastrointestinal Bleeding

“…Traditionally, atherosclerosis has been the most common cause of hepatic artery aneurysms (1). The presenting features may include abdominal pain, hematemesis, and history of rectal bleeding.…”