Ruptured mycotic hepatic artery aneurysm associated with methicillin sensitive staphylococcal endocarditis

Cardiometry

article

Hamidreza Varastehravan¹  Hasan Salmanroghani¹  Aryan Naghedi¹ 

[1] Shahid Sadoughi University of Medical Sciences and Healthcare Services

关键词: Hemobilia;    Hepatic;    Mycotic;    Aneurysm;    Bacterial endocarditis;    Aortic valve replacement;    Mitral valve replacement;    Coil embolization;   

DOI  :  10.12710/cardiometry.2018.13.8185

学科分类：环境科学（综合）

来源: Russian New University

【 摘 要 】

Hemobilia is a rare cause of upper gastrointestinal hemorrhage. Classical presentations of hemobilia are biliary colic, jaundice, hematochezia and melena. Persistent bleeding sometimes requires urgent therapeutic intervention, such as angiographic intervention or surgery. It may be secondary to trauma, inflammatory disorders, gallstones or tumors. Hepatic artery aneurysm rupture is a rare cause of gastrointestinal bleeding. Mycotic hepatic artery aneurysm is not a common vascular lesion, but it is considered to be a late complication of bacterial endocarditis. We present a 43 years old man with history of bacterial endocarditis that led to aortic valve replacement (AVR) and mitral valve replacement (MVR) about 9 months ago, with present complaint of rectal bleeding and dizziness. Angiographic studies suggested ruptured mycotic aneurysm in right hepatic artery, which was successfully treated with coil embolization.

【 授权许可】

CC BY