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Endovascular embolisation of a hepatic pseudoaneurysm causing massive hemorrhage after a blunt hepatic trauma

Abstract

Hepatic artery pseudoaneurysm is an uncommon and a late complication after a blunt hepatic trauma. Although hepatic artery pseudoaneurysms may stay silent, it is usually better to treat them due to the high hemorrhage risk they cause. We are presenting a patient with post traumatic hepatic laceration who had serious bleeding with late onset after percutaneous drainage of the old hematoma. On a multidetector computerised tomography (MDCT) scan, a large hematoma surrounding a pseudoaneurysm was diagnosed which was treated with endovascular cyanoacrylate (glue) embolisation.

Özet

Hepatic artery pseudoaneurysm is an uncommon and a latecomplication after a blunt hepatic trauma. Although hepatic arterypseudoaneurysms may stay silent, it is usually better to treat themdue to the high hemorrhage risk they cause. We are presenting apatient with post traumatic hepatic laceration who had seriousbleeding with late onset after percutaneous drainage of the oldhematoma. On a multidetector computerised tomography (MDCT)scan, a large hematoma surrounding a pseudoaneurysm wasdiagnosed which was treated with endovascular cyanoacrylate(glue) embolisation.

Keywords: Karaciğer travması, Hepatik arter psödoanevrizması, Embolizasyon, Siyanoakrilat