Post-traumatic hepatic arterial pseudoaneurysm and arterioportal shunt

JBR-BTR. 2010 Jul-Aug;93(4):189-92. doi: 10.5334/jbr-btr.282.

Abstract

The authors report the case of a 21-year-old man who suffered from a blunt abdominal trauma. Initial imaging revealed a liver laceration at the right lobe, a perirenal hematoma of the right kidney and a hematoma of the right adrenal gland. Follow-up MDCT-scan on day 10 after admission showed at the arterial-phase contrast-enhanced study perfusion alterations and two hepatic pseudoaneurysms. The diagnosis of pseudoaneurysm was confirmed and treated angiographically with superselective coil embolization. A follow-up CT-scan on day 17 showed at a nontreated area an arterioportal shunt and a wedge-shaped transient hepatic parenchymal enhancement. This was confirmed angiographically and subsequently treated with coil embolization.

Publication types

  • Case Reports

MeSH terms

  • Accidental Falls
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / etiology
  • Aneurysm, False / therapy
  • Angiography
  • Arteriovenous Fistula / diagnostic imaging*
  • Arteriovenous Fistula / etiology
  • Arteriovenous Fistula / therapy
  • Embolization, Therapeutic
  • Hepatic Artery / diagnostic imaging
  • Hepatic Artery / injuries*
  • Humans
  • Male
  • Tomography, X-Ray Computed / methods*
  • Young Adult