RUPTURED HEPATIC ARTERY ANEURYSM SUCCESSFULLY TREATED WITH DUAL-LAYER STENT ENDOVASCULAR TREATMENT: CASE REPORT AND LITERATURE REVIEW

Authors

  • Elena Curakova Ristovska University Clinic for Gastroenterohepathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Petar Janevski University Clinic for Radiology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Darko Dzambaz University Clinic for Digestive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0009-0000-5980-6744
  • Magdalena Genadieva-Dimitrova University Clinic for Gastroenterohepathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0000-0002-9934-983X
  • Beti Todorovska University Clinic for Gastroenterohepathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0000-0002-1153-6690
  • Kalina Grivceva-Stardelova University Clinic for Gastroenterohepathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0000-0001-7887-4013
  • Nikolovska-Trpcevska Emilija University Clinic for Digestive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Svetozar Antovic University Clinic for Digestive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Georgi Janevski University Clinic for Gastroenterohepathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0009-0001-4486-4025
  • Ivan Rankovic Department of Gastroenterology, Royal Cornwall Hospitals National Health Services (NHS) Trust, England, UK https://orcid.org/0000-0002-5767-3914
  • Natasa Hadzi-Nikolova Alcinova University Clinic for Radiology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Republic of North Macedonia https://orcid.org/0009-0004-8612-0894
  • Violeta Ivanoska-Jankovska PHI Health Centre Skopje, Republic of North Macedonia https://orcid.org/0009-0008-5097-351X
  • Ante Bogut University Hospital Mostar, Department of Gastroenterology Mostar, Bosnia and Herzegovina; School of Medicine University of Mostar, Mostar, Bosnia and Herzegovina https://orcid.org/0000-0003-1267-7011

Keywords:

hepatic artery aneurysm, hemoperitoneum, endovascular stent

Abstract

Spontaneous rupture of a hepatic artery aneurysm into the peritoneal cavity is a serious life-threatening complication related to hemodynamic instability and high mortality rate. We present a case of a hepatic artery aneurysm complicated with intraperitoneal bleeding and successfully treated with endovascular stent insertion.  A 78-year-old male patient was admitted to a tertiary care center due to an abdominal pain and a large amount of free fluid in the peritoneal cavity. The diagnostic paracentesis confirmed hemoperitoneum. The CT scan revealed an aneurysm of the common hepatic artery that was successfully treated with an insertion of a dual-layered carotid stent. Endovascular stent insertion of a ruptured aneurysm of the common hepatic artery is an effective therapeutic procedure that can provide a definitive curative treatment in some patients. 

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Published

2024-07-09

Issue

Vol. 4 No. 2 (2024): Acad Med J

Section

Case Reports