Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm

C. C. Kibbler, D. L. Cohen, J. K. Cruicshank, S. S. Kushwaha, Marsha Y. Morgan, R. D. Dick

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Hepatic artery aneurysms occur infrequently and are often difficult to diagnose. Non-invasive procedures such as ultrasound or computer assisted tomography have not been considered suitable for definitive diagnosis and angiography is usually required. A patient is described in whom a mycotic hepatic artery aneurysm developed during the course of subacute bacterial endocarditis. The definitive diagnosis was made using computer assisted tomography with intravenous contrast enhancement and angiography was undertaken only as a prelude to transcatheter embolisation. The same technique was used to monitor progress after embolisation precluding the need for follow up angiography. As 80% of patients with hepatic artery aneurysm present for the first time after aneurysm rupture, the mortality associated with this condition is high. More widespread use of intravenous contrast enhanced tomography for abdominal examination in patients with unexplained abdominal pain might result in earlier diagnosis of this condition.

Original languageEnglish (US)
Pages (from-to)752-756
Number of pages5
JournalGut
Volume26
Issue number7
DOIs
StatePublished - 1985
Externally publishedYes

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Hepatic Artery
Aneurysm
Angiography
Tomography
Subacute Bacterial Endocarditis
Abdominal Pain
Early Diagnosis
Rupture
Mortality

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Gastroenterology

Cite this

Kibbler, C. C., Cohen, D. L., Cruicshank, J. K., Kushwaha, S. S., Morgan, M. Y., & Dick, R. D. (1985). Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm. Gut, 26(7), 752-756. https://doi.org/10.1136/gut.26.7.752

Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm. / Kibbler, C. C.; Cohen, D. L.; Cruicshank, J. K.; Kushwaha, S. S.; Morgan, Marsha Y.; Dick, R. D.

In: Gut, Vol. 26, No. 7, 1985, p. 752-756.

Research output: Contribution to journalArticle

Kibbler, CC, Cohen, DL, Cruicshank, JK, Kushwaha, SS, Morgan, MY & Dick, RD 1985, 'Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm', Gut, vol. 26, no. 7, pp. 752-756. https://doi.org/10.1136/gut.26.7.752
Kibbler CC, Cohen DL, Cruicshank JK, Kushwaha SS, Morgan MY, Dick RD. Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm. Gut. 1985;26(7):752-756. https://doi.org/10.1136/gut.26.7.752
Kibbler, C. C. ; Cohen, D. L. ; Cruicshank, J. K. ; Kushwaha, S. S. ; Morgan, Marsha Y. ; Dick, R. D. / Use of CAT scanning in the diagnosis and management of hepatic artery aneurysm. In: Gut. 1985 ; Vol. 26, No. 7. pp. 752-756.
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