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Yeungnam Univ J Med > Volume 29(1); 2012 > Article
Yeungnam University Journal of Medicine 2012;29(1):24-27.
DOI: https://doi.org/10.12701/yujm.2012.29.1.24    Published online June 30, 2012.
A Case of Ruptured Mycotic Hepatic Artery Aneurysm Successfully Treated Using Arterial Embolization.
Gi Ae Kim, Han Chu Lee, Young Joo Jin, Jee Eun Yang, Min Jung Lee, Ji Hyun Park, Bo Young Lee
1Department of Internal Medicine, Asan Liver Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
2Department of Gastroenterology, Asan Liver Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. hch@amc.seoul.kr
Abstract
Mycotic hepatic artery aneurysms (HAAs) have become very rare due to antibiotics. Untreated, they have a high possibility of rupture and mortality. In this paper, on the case of a 67-year-old male who had severe right-upperquadrant abdominal pain and a history of infective endocarditis is reported. The computed tomography (CT) and arterial angiography findings led to a diagnosis of a ruptured mycotic HAA. The CT showed an HAA and the formation of an intrahepatic hematoma caused by aneurysmal rupture. The arterial angiography showed a mycotic HAA that arose from the right posterior hepatic artery. Percutaneous transcatheter arterial embolization was used to successfully treat the HAA. Since then, the patient has been doing well, without symptoms.
Key Words: Aneurysm, Embolization, Hepatic artery


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