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Asymptomatic aneurysm of the hepatic artery Management options

Journal Volume 66 - 2003
Issue Fasc.4 - Case reports
Author(s) G. Van den Steen, P. Michielsen, M. Van Outryve, B. Corthouts, A. De Backer, O. D'Archambeau, F. Van den Brande, D. Ysebaert
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Divisions of Gastroenterology and Hepatology (1), Hepatobiliary and Transplant Surgery (2), Radiology (3) and Vascular Surgery (4), University Hospital Antwerp, Belgium.

Hepatic aneurysms are rare. The majority of patients present acutely with aneurysm rupture, with an attended high mortality. Diagnosis is difficult and often delayed, owing to the non-specific symptoms and lack of clinical findings. We present three cases of hepatic artery aneurysm diagnosed in a pauci- or asymptomatic stage, illustrating the different therapeutic options described when these aneurysms are diagnosed in this stage : expectant manage- ment, embolization, or surgery. (Acta gastroenterol. belg., 2003, 66, 298-302).

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