Spontaneous Hepatic Artery Thrombosis with Infarction of the Liver

O’Connor, Philip; Buhac, I; Balint, John A.

doi:10.1016/s0016-5085(76)80504-5

Cited by 13 publications

(6 citation statements)

References 4 publications

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“…Earlier case reports of spontaneous HAT include concomitant findings of hepatic infarction (8,9,11,12). These patients did not have any known obstruction of the portal venous system, yet they developed focal areas of infarction as determined by imaging, biopsy, or autopsy.…”

Section: Discussionmentioning

confidence: 88%

“…The occurrence of HAT and its associated risk factors has been well described in the context of orthotopic liver transplantation (1-4, 13, 14). Spontaneous HAT has been reported as a complication of abdominal surgical interventions (5)(6)(7) and in patients with embolic, atherosclerotic, or thrombotic risk factors (8)(9)(10)(11)(12). Cases of spontaneous HAT-including patient characteristics, complications, and treatment-are summarized in Table 2.…”

Section: Discussionmentioning

confidence: 99%

“…It also appears infrequently as a postprocedural complication of abdominal surgery (5)(6)(7). Case reports of HAT with associated hepatic infarction in patients with thrombosis and atherosclerotic risk factors from diabetes (8,9), nephrotic syndrome (10), oral contraception (11), and an extensive smoking history (12) have also been described. In these cases, no concurrent obstruction of flow through the portal vein was found, yet signs and symptoms of liver injury were reported.…”

Section: Introductionmentioning

confidence: 99%

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An Incidental Finding of Spontaneous Hepatic Artery Thrombosis in a Healthy Patient

et al. 2022

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This is an open access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND), which allows reusers to copy and distribute the material in any medium or format in unadapted form only, for noncommercial purposes only, and only so long as attribution is given to the creator. See: https://creativecommons. org/licenses/by-nc-nd/4.0/legalcode. DisclosuresDisclosure forms are available with the article online.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An Incidental Finding of Spontaneous Hepatic Artery Thrombosis in a Healthy Patient

et al. 2022

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“…O’Connor et al reported the first case of “spontaneous hepatic artery thrombosis with infarction of the liver” in 1976 [17]. …”

Section: Discussionmentioning

confidence: 99%

Isolated Hepatic Artery Thrombosis Leading to Multiple Liver Infarcts in a Non-transplant Patient

Almouradi

Riles

et al. 2014

Am J Case Rep

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Patient: Female, 62Final Diagnosis: Hepatic artery thrombosisSymptoms: Abdominal pain • Nausea • VomitingMedication: —Clinical Procedure: —Specialty: SurgeryObjective:Rare diseaseBackground:Isolated hepatic artery thrombosis is an extremely rare condition with only a few cases reported in the literature.Case Report:A 62-year-old woman presented with a 5-day history of right upper quadrant abdominal pain associated with nausea and vomiting. Physical examination revealed right upper quadrant tenderness.Her initial laboratory work was significant for elevated aspartate aminotransferase and alanine aminotransferase levels (745 and 431 U/L, respectively).A computed tomography of her abdomen showed a thrombus within the hepatic artery, with multiple hepatic infarcts but no evidence of portal vein thrombosis. Hypercoagulability workup was unremarkable; she did not have any evidence of atrial fibrillation on ECG or telemetry. She was treated with subcutaneous low molecular weight heparin.Over the course of her hospitalization, her AST and ALT levels peaked to 2065 and 1217 U/L respectively, and trended down thereafter.Conclusions:We believe that our case is unique for 2 reasons: 1) Our patient did not undergo any procedure that may have precipitated hepatic artery thrombosis and 2) Despite the absence of concurrent portal vein thrombosis, she had biochemical and imaging findings of hepatic ischemia.

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“…The liver, because of its dual blood supply and better collateral flow, does not have significant clinical sequela 14 except for patchy necrosis. Also in the case of extensive liver infarction following thrombosis, complete recovery can be expected 15 . Similarly splenic infarction may be managed conservatively 3 .…”

Section: Discussionmentioning

confidence: 99%

Coeliac Artery Trunk Thrombosis in Acute Pancreatitis Causing Total Gastric Necrosis

Chinnappan

Chung

Ooi

et al. 2006

ANZ Journal of Surgery

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Spontaneous Hepatic Artery Thrombosis with Infarction of the Liver

Cited by 13 publications

References 4 publications

An Incidental Finding of Spontaneous Hepatic Artery Thrombosis in a Healthy Patient

An Incidental Finding of Spontaneous Hepatic Artery Thrombosis in a Healthy Patient

Isolated Hepatic Artery Thrombosis Leading to Multiple Liver Infarcts in a Non-transplant Patient

Coeliac Artery Trunk Thrombosis in Acute Pancreatitis Causing Total Gastric Necrosis

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