Ann Ital Chir. 2021 Sep 27;10:S2239253X21036161.
The pseudoaneurysm of the hepatic artery (HAP) is mainly associated with liver trauma. Post-traumatic HAP is usually asymptomatic and found at imaging follow-up. Its detection warrants correction, irrespective of size or symptoms.
We report a case of post-traumatic liver pseudoaneurysm treated with endovascular embolization. An 80-year-old man developed pseudoaneurysm of the S6 branch of the hepatic artery, 14 days after a motorcycle accident.
The patient was treated with radiological embolization of the pseudoaneurysm, which completely disappeared. After the intervention, the patient developed acute anemia and leukocytosis. At discharge, the white blood cell count was normal, as well as hemoglobin and bilirubin concentrations.
Treatment options include endovascular embolization, ultrasound-guided thrombin injection, placement of an angiographic stent, surgical ligation, and surgical resection.
Aneurysm, Pseudoaneurysm, Abdominal trauma, Liver, Post-Traumatic.
肝动脉假性动脉瘤（HAP）主要与肝外伤有关。外伤性 HAP 通常无症状，在影像学随访中发现。无论大小或症状如何，都需要进行纠正。
我们报告了一例经血管内栓塞治疗的外伤性肝假性动脉瘤。一名 80 岁男性在摩托车事故后 14 天发生 S6 肝动脉分支假性动脉瘤。
患者接受了假性动脉瘤的放射介入栓塞治疗，假性动脉瘤完全消失。介入治疗后，患者出现急性贫血和白细胞增多。出院时，白细胞计数正常，血红蛋白和胆红素浓度正常。
治疗选择包括血管内栓塞、超声引导下凝血酶注射、血管造影支架置入、手术结扎和手术切除。
动脉瘤，假性动脉瘤，腹部创伤，肝，创伤后。
