Nonclassical Cause of Obstructive Jaundice: A Case Report of Multiple Visceral Arterial Aneurysms in a Young Patient

• 作者: Hassan Adnan Bukhari Noran Sultan Waed Jameel
• 来源期刊: 急诊医学(英文)
• 学科: 医学
• 关键词: Multiple Visceral Artery Aneurysms (MVAA) Gastroduodenal Artery Aneurysms (GDA) Hepatic Arterial Aneurysms (HAA)
• 年，卷（期）: 2020,（3）
• 页码范围: 71-77
• 页数: 7页
• 分类号: R73

摘要

<span style="font-family:Verdana;">Multiple visceral artery aneurysms are relatively rare;the rarest are superior mesenteric artery and gastroduodenal artery aneurysms. The clinical presentation depends on the size and site of the aneurysm. We report the case of a 33-year-old man with recurrent episodes of obstructive jaundice and weight loss. Computed tomography with contrast revealed scattered hepatic arterial aneurysms with two other aneurysms along the course of the left gastro-duo</span><span style="font-family:;" "=""><span style="font-family:Verdana;">denal and superior mesenteric artery. Investigations to determine the etiology were negative, but the patient had a history of smoking and substance abuse. </span><span style="font-family:Verdana;">Angiography revealed an occluded feeding artery. The patient developed</span><span style="font-family:Verdana;"> multiorgan failure, leading to cardiac arrest and died. Diagnosing multiple visceral artery aneurysms needs a high index of suspicion;early diagnosis enables early intervention, which can reduce the high mortality of this condition.</span></span>