The Southern Medical Journal (SMJ) is the official, peer-reviewed journal of the Southern Medical Association. It has a multidisciplinary and inter-professional focus that covers a broad range of topics relevant to physicians and other healthcare specialists.

SMJ // Article

Case Report

Hepatic Artery Aneurysm Associated With Acute Gastroenteritis: Successful Treatment After Intraperitoneal Rupture

Authors: WINSTON TAN MD, THOMAS D. SCHIANO MD, DOUGLAS MOSS MD, BARRY C. HERZLICH MD

Abstract

ABSTRACT: A 62-year-old multiparous woman was hospitalized because of nausea, vomiting, anorexia, loose stools, and abdominal discomfort for 3 days. During the hospitalization, she suddenly had hemorrhagic shock with electromechanical dissociation. Intraoperatively, she was found to have a ruptured hepatic artery aneurysm, which was successfully ligated. The patient fully recovered. We believe hepatic artery aneurysms should be considered in the differential diagnosis of patients with nonspecific gastrointestinal symptoms if unexplained anemia, jaundice, and especially hypotension occur.

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