Mycotic Aneurysm of the Hepatic Artery

Abstract

The authors report a case of hepatic mycotic aneurysm following Staphylococcus aureus septicemia and subsequent bacterial endocarditis. The diagnosis was made preoperatively using serial radionuclide imaging and ultrasound and confirmed by angiography and surgery.

Hepatic hemobilia of traumatic or iatrogenic origin: Recent advances in diagnosis and therapy, review of the literature from 1976 to 1981

“…Hemobilia and associated lesions may heal spontaneously, but this is an exceptional outcome; only 3 such cases have been reported [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32], including 1 case alone that followed a therapeutic choice [33].…”

“…Recognized as a clinical entity in 1654 by Glisson [1], the term hemobilia was first introduced by Sandblom [2] in 1948 to describe the presence of blood in the main biliary tract. Its hepatic localization, which currently represents approximately 50% of cases [3], and which may be of infectious [4][5][6][7], inflammatory [8,9], vascular [10][11][12][13][14][15][16][17], or neoplastic [9][10][11][12][13][14][15][16][17][18] etiology, is of traumatic or iatrogenic origin in 8 out of 10 cases.…”

Spontaneous rupture of intrahepatic artery aneurysm with complicated vascular anomalies

“…Jaundice is found in about half of the patients [5,9]. These clinical signs are a' clue for surgeons to suspect hepatic artery aneurysm [4,6,11].…”