Aneurysm of the common hepatic artery

Common hepatic artery aneurism is a rare pathology. Today there are only isolated instances in the world medical literature. The risk of common hepatic artery and celiac arteries aneurism rupture is very high, and it reaches 50%. Mortality as a result of common hepatic artery aneurism rupture is 75%. Most visceral branches of aorta aneurisms occur asymptomatically unless there is a rupture. Diagnostics of common hepatic artery aneurism includes duplex ultrasound, X-ray computed tomography, magnetic resonance tomography with intravenous contrast and angiography. Differential diagnosis of common hepatic artery aneurism is between pancreas space-occupying lesion (pseudocysts) and paragangliomas. The article describes the clinic-diagnostic case of common hepatic artery aneurism.

1. Dolgushin B.I. Diagnostic and therapeutic interventional radiology in oncology. Problems of clinical medicine. 2006; 3 (7): 15–22. (In Russian)

2. Carmeci C., McCleanathan J. Visceral artery aneurysms as seen in a community hospital. Am. J. Surg. 2000; 79: 486–489.

3. Zeienock G.B., Stanley J.C. Splanchnic artery aneurysms. Vascular Surgery. 5th ed. Philadelphia: WB Saunders, 2000: 1369–1382.

4. Lesnyak V.N., Kemezh YU.V., Eremeicheva A.Yu. CT-diagnostics of visceral branches of abdominal aorta aneurisms. Russian Electronic Journal of Radiology (REJR). 2011; 1 (3): 69–74. (In Russian)

5. Clinical angiology: Manual; Ed. A.V. Pokrovsky. In two volumes. Vol. 2. Moscow: Meditsina Publishers, 2004: 127–128. (In Russian)

6. Andreychuk N.N., Andreychuk K.A., Savello V.E. Postoperative ultrasound monitoring survey in patients with abdominal aortic aneurysms. Diagnostic radiology and radiotherapy. 2017; 2: 5–12. DOI: 10.22328/2079-5343-2017-2-18-30. (In Russian)

7. Jibiki M., Inoue Y., Iwai Т., Sugano N., Igari Т., Koike M. Treatment of three pancreaticoduodenal artery aneurysms associated with coeliac artery occlusion and splenic artery aneurysm: a case report and review of the literature. Eur. J. Vasc. Endovasc. Surg. 2005; 29 (2): 213–217.

8. Kokov L.S., Karmazanovsky G.G., Steanova Yu.A., Tsygankov V.N., Kochatkov A.V., Shutikhina I.V., Osipova N. Yu. Radiological diagnosis and endovasal treatment of a false aneurysm of the gastro-duodenal artery. Journal Diagnostic & interventional radiology. 2007; 1 (2): 87–96. (In Russian)

9. Falkoff G.E., Taylor K.J.W., Morse S. Hepatic artery pseudoaneurysm: diagnosis with real-time and pulsed Doppler US. Radiology. 1986; 158: 55–56.

10. Ido K., Isobe K., Kimura K., Adachi M. Case of hemorrhagic pancreatic pseudocysts in which ultrasound imaging was useful. Med. Ultrasonics. 2004; 31: 41–45.

11. Yashina N.I., Vilyavin M.Yu. Possibilities of multispiral computed tomography in the diagnosis of aneurysms of the visceral branches of the abdominal aorta as a complication of chronic pancreatitis. Annaly khirurgicheskoy gepatologii = Annals of HPB surgery. 2010. XVII International Congress of Surgeons-Hepatologists of Russia and CIS countries “Actual problems of surgical Hepatology”. 15–17 september 2010, Ufa. (In Russian)

12. Hossain A., Reis E. D., Dave S. P., Kerstein M. D. Visceral artery aneurysms: experience in a tertiary-care center. Am. Surg. 2010. 67 (5): 432–437.