Case Report
Copyright ©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Sep 21, 2006; 12(35): 5733-5734
Published online Sep 21, 2006. doi: 10.3748/wjg.v12.i35.5733
Successful management of hepatic artery pseudoaneurysm complicating chronic pancreatitis by stenting
Cynthia Sudar Singh, Kamini Giri, Renuka Gupta, Mohammed Aladdin, Harinder Sawhney
Cynthia Sudar Singh, Kamini Giri, Renuka Gupta, Mohammed Aladdin, Harinder Sawhney, Department of Medicine, Wyckoff Heights Medical Center, Brooklyn, New York, United States
Author contributions: All authors contributed equally to the work.
Correspondence to: Cynthia Sudar Singh, Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237, United States.
Telephone: +1-718-9637272 Fax: +1-718-4864270
Received: April 13, 2006
Revised: May 15, 2006
Accepted: May 24, 2006
Published online: September 21, 2006

A 41-year old alchoholic male with a history of chronic pancreatitis was admitted for nausea, vomiting and weight loss. Angiogram was performed and demonstrated an aneurysmal sac with a narrow neck originating from the inferior aspect of the distal portion of the proper hepatic artery. The origin of the pseudoaneurysm was covered with a 5 mm × 2.5 cm Viabahn cover stent (Gore). A repeat angiogram showed some leak and a second stent (6 mm × 2.3 cm) was deployed and overlapped with the first stent by 3 mm. Contrast was injected and a repeat angiogram demonstrated complete exclusion of the aneurysm. A repeat computerized axial tomography (CAT) scan of the abdomen after 24 h showed successful stenting. The patient had an uneventful post-operative course.

Keywords: Hepatic artery, Aneurysm, Stents