Post-traumatic hepatic arterial pseudoaneurysm and arterioportal shunt

Authors

J Maes Dept of Radiology, University Hospital Antwerp, Edegem
O d’Archambeau Dept of Radiology, University Hospital Antwerp, Edegem Dept of Radiology, Sint-Augustinus Hospital, Wilrijk, Belgium
A Snoeckx Dept of Radiology, University Hospital Antwerp, Edegem
B Op de Beeck1 Dept of Radiology, University Hospital Antwerp, Edegem
M Voormolen Dept of Radiology, University Hospital Antwerp, Edegem
P M Parizel Dept of Radiology, University Hospital Antwerp, Edegem

DOI:

Keywords:

Liver, angiography – Aneurysm, hepatic

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.

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Published

2010-04-03

Issue

Vol. 93 No. 4 (2010)

Section

Original Article

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