Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jun 28, 2016; 8(18): 779-784
Published online Jun 28, 2016. doi: 10.4254/wjh.v8.i18.779
Atypical presentation of a hepatic artery pseudoaneurysm: A case report and review of the literature
Casey M Luckhurst, Chelsey Perez, Amy L Collinsworth, Jose G Trevino
Casey M Luckhurst, Chelsey Perez, Jose G Trevino, Department of Surgery, Colleges of Medicine, University of Florida Health Science Center, Gainesville, FL 32610, United States
Amy L Collinsworth, Department of Pathology, Colleges of Medicine, University of Florida Health Science Center, Gainesville, FL 32610, United States
Author contributions: All authors have read, approved the final manuscript and agree to be accountable for all aspects of the manuscript ensuring the accuracy and integrity of this manuscript; Luckhurst CM and Perez C participated in the acquisition of data, design and drafting of the manuscript; Collinsworth AL participated in the acquisition and interpretation of data; Trevino JG participated in the conception and design of this manuscript and give final approval of this version of the manuscript to be published.
Institutional review board statement: This manuscript was designed and drafted with approval from University of Florida Institutional Review Board (UF IRB).
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.
Conflict-of-interest statement: All the authors declare they have no competing interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jose G Trevino, MD, Assistant Professor, Department of Surgery, Colleges of Medicine, University of Florida Health Science Center, Room R6116, Shands Hospital, 1600 SW Archer Rd, Gainesville, FL 32610, United States. jose.trevino@surgery.ufl.edu
Telephone: +1-352-2737967 Fax: +1-352-2650889
Received: March 30, 2016
Peer-review started: March 31, 2016
First decision: May 17, 2016
Revised: May 27, 2016
Accepted: June 1, 2016
Article in press: June 3, 2016
Published online: June 28, 2016
Core Tip

Core tip: Hepatic artery pseudoaneurysms (HAPs) typically arise from secondary trauma or iatrogenic causes. Most of HAPs are asymptomatic but can be complicated with rupture and bleeding. Biliary obstruction due to HAPs is a rare phenomenon and can present clinically as Quinke’s triad (hematobilia, abdominal pain, and jaundice). Most cases can be managed with non-operative vascular and endoscopic interventions. This case report presents an atypical presentation of HAP with a multidisciplinary approach to a complex problem.