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{
    "pk": 42509,
    "title": "Spontaneous Rupture of an Hepatic Artery Aneurysm: A Case Report, Against the Odds ",
    "subtitle": null,
    "abstract": "<p style=\"line-height: 2;\"><strong>Introduction</strong>: Ruptured aneurysms are associated with significant mortality limiting a patient’s chances of survival, making early and accurate diagnoses crucial. A commonly overlooked cause<br>is the hepatic artery aneurysm, where most patients exhibit no distinct symptoms and detection typically occurs only after the aneurysm has ruptured. Hepatic artery aneurysms are linked with high rupturing rates resulting in substantial mortality when compared to other splanchnic artery aneurysms. Enhancing recognition and consideration of splanchnic artery aneurysms, including hepatic artery aneurysms, will increase a patient’s odds of a successful recovery. The following case report illustrates the critical nature of these cases and highlights how important early diagnosis and aggressive intervention are to prevent death once rupture of the hepatic artery<br>aneurysm has occurred.</p>\n<p style=\"line-height: 2;\"><strong>Case Report: </strong>A 57-year-old female presented to the emergency department brought in by helicopter for generalized chest and abdominal pain. A computed tomography angiography of the chest, abdomen, and pelvis was performed and revealed a saccular aneurysm exhibiting multiple lobes in the left hepatic artery accompanied by hemoperitoneum confirming a spontaneous rupture. As a result of the ruptured aneurysm, it was decided an immediate coil embolization was necessary. Ultimately the patient underwent a successful coil embolization and was transferred to a facility with hepatobiliary and transplant surgery capabilities. She remained stable, was extubated the following day, and did not require any additional surgeries.</p>\n<p style=\"line-height: 2;\"><strong>Conclusion</strong>: By encompassing hepatic and associated splanchnic artery aneurysms in the diagnosis of patients with abdominal pain and signs of hemodynamic instability, physicians can improve early identification, facilitating early endovascular repair and improved patient outcomes. It is a rare diagnosis that can present with a wide range of symptoms. Currently, endovascular approaches for ruptured hepatic artery aneurysms are preferred over open surgery.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "hepatic artery aneurysms"
        },
        {
            "word": "coil embolization"
        },
        {
            "word": "hepatobiliary"
        },
        {
            "word": "abdominal pain"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9x15h83v",
    "frozenauthors": [
        {
            "first_name": "Andrea",
            "middle_name": "",
            "last_name": "Hladik",
            "name_suffix": "",
            "institution": "Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California",
            "department": ""
        },
        {
            "first_name": "Vahe",
            "middle_name": "",
            "last_name": "Zorgrabyan",
            "name_suffix": "",
            "institution": "Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California",
            "department": ""
        },
        {
            "first_name": "Lysdie",
            "middle_name": "",
            "last_name": "Espinoza",
            "name_suffix": "",
            "institution": "Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California",
            "department": ""
        },
        {
            "first_name": "Manuel",
            "middle_name": "",
            "last_name": "Cruz",
            "name_suffix": "",
            "institution": "Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California",
            "department": ""
        }
    ],
    "date_submitted": "2025-02-09T16:30:10.314000-08:00",
    "date_accepted": "2025-08-07T21:29:16.971000-07:00",
    "date_published": "2025-10-22T20:02:00-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/42509/galley/40153/download/"
        }
    ]
}