HEPATİK ARTER ANEVRİZMASI: NADİR BİR OLGU SUNUMU

Öz

Bütün visseral arter anevrizmalarının % 80’ini oluşturan splenik ve hepatik arter lezyonları nadirdir, fakat potansiyel olarak hayatı tehdit eder. Hastaların çoğu asemptomatik olduğu için tanı genellikle radyolojik incelemeler sırasında rastlantısal olarak konulur. Rüptür ana komplikasyon olup vakaların %60-80’inde görülür. Biz bu vakada, hepatik arter anevrizmasının bilgisayarlı tomografi bulgularını sunmayı amaçladık

Anahtar Kelimeler

• Anevrizma,Bilgisayarlı Tomografi,Hepatik arter

HEPATIC ARTERY ANEURYSM: A RARE CASE REPORT

Abstract

Accounting for 80% of all visceral artery aneurysms, splenic and hepatic artery lesions are rare but potentially life threatening. Hepatic artery aneurysms are a rare but a clinically significant phenomenon. Because most patients are asymptomatic, the diagnosis is usually made as an incidental finding during radiological examinations. Rupture is the main complication that occurs in 60%-80% of the cases. In this case we aim to present computed tomographyfindings of a hepatic artery aneurysm

Keywords

• Aneurysm,Computed Tomography,Hepatic artery

Kaynakça

1. ) Abbas MA, Stone WM, Fowl RJ, et al: Splenic artery aneurysms:Two decades experience at Mayo clinic. Ann Vasc Surg 2002;16(4):442-9.
2. ) Schick C, Ritter RG, Balzer JO, et al. Hepatic artery aneurysm: treatment options. Eur Radiol 2004;14(1):157–
3. ) Abbas MA, Fowl RJ, Stone WM, et al: Hepatic artery aneurysm:Factors that predict complications. J Vasc Surg ;38(1):41-5. ) Tessier DJ, Stone WM, Fowl RJ, et al: Clinical features and management of splenic artery pseudoaneurysm: Case series and cumulative review of literature. J Vasc Surg ;38(5):969-74. ) Carr JA, Cho JS, Shepard AD, et al: Visceral pseudoaneurysms due to pancreatic pseudocysts: Rare but lethal complications of pancreatitis. J Vasc Surg 2000;32 (4):722-30.
4. ) Lynch J, Montgomery A, Shelmerdine S, Taylor J; Ruptured aneurysm of an aberrant left hepatic artery. BMJ Case Rep. 2013;doi: 10.1136/bcr-2013-201409.
5. ) Sessa C, Tinelli G, Porcu P, et al: Treatment of visceral artery aneurysms: Eescription of a retrospective series of aneurysms in 34 patients. Ann Vasc Surg 2004;18 (6):695-703.
6. ) Chiesa R, Astore D, Guzzo G, et al: Visceral artery aneurysms.Ann Vasc Surg 2005;19(1):42-8.
7. )Mine T, Murata S, Ueda T, Takeda M, Onozawa S, Yamaguchi H, Kawano Y, Kumita SI ;Contribution of extrahepatic collaterals to liver parenchymal circulation after proper hepatic artery embolization. J Gastroenterol Hepatol. 2014 Mar 14. doi: 10.1111 /jgh.12571.