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  Česky / Czech version Čes. Radiol., 55, 2001, No. 3, p. 183-187
 
Endovascular Treatment of Aneurysm of the Hepatic Artery. Gase-record  
Niangová I., Lojík M., Krajina A., Hajžman Z., Hrubá I., Vaňásek T., Zbořilová I., Michl A.:  

Radiodiagnostická klinika Fakultní nemocnice, Hradec Králové, přednosta doc. MUDr. Pavel Eliáš, CSc. Chirurgická klinika Fakultní nemocnice, Hradec Králové, přednosta doc. MUDr. Jan Bedrna, CSc. I. interní klinika Fakultní nemocnice, Hradec Králové, přednosta prof. MUDr. Jiří Kvasnička, CSc.
 


Summary:

       Aneurysms of the visceral arteries are rare vascular lesions that give rise to life threatening complications due to extensive bleeding. Haemorrhagies occur from both the rupture of the aneurysm and the adjacent damaged visceral organs. Authors report a case where the patient had acute abdominal pain following bronchopneumonia with pleuritis. This resulted in the patient’s collapse. Following this, authors observed bleeding into the peritoneal cavity accompanied by an increased level of transaminases. Angio-CT examination confirmed the aneurysm of the left hepatic artery and also showed extensive focal bleeding into the liver parenchyma. During angiography the aneurysm was closed by a spiral wire and enbutylacrylate (Histoacryl). Follow-up sonographic examination and angio-CT proved a long-lasting effect of the therapy. The patient has been without pain for 3 months.

        Key words: visceral aneurysms - endovascular treatment - bleeding - embolisation - hepatic artery
       

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