Gastrointestinal Bleeding because of Hepatic Arteriobiliary Fistula

Document Type

Conference Proceeding

Publication Date

5-1-2023

Publication Title

ACG Case Reports Journal

Keywords

self expandable metallic stent, alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, bilirubin, hemoglobin, adult, alcoholism, aneurysm, artery bypass, bile duct fistula, bile leakage, biliary tract hemorrhage, biliary tract surgery, case report, clinical article, common bile duct, common hepatic artery, computed tomographic angiography, conference paper, emergency surgery, endoscopic retrograde cholangiopancreatography, epigastric pain, esophagogastroduodenoscopy, fluoroscopy, hepatic artery, hepatic artery aneurysm, hepatic artery thrombosis, human, hypotension, laboratory test, liver function test, liver hilus, male, melena, middle aged, multidisciplinary team, peroperative cholangiography, tobacco dependence, vascular surgery

Abstract

Hepatic artery aneurysms are a rare phenomenon, representing 20% of visceral aneurysms. Hepatic artery aneurysm can rarely cause fistulization with the bile duct, also known as common hepatic artery-bile duct fistula. In acute settings, patients present with abdominal pain, jaundice, and gastrointestinal bleeding. Radiographic findings confirm the diagnosis. Given the rarity of this condition, there are no optimal treatment guidelines; therefore, treatment is multidisciplinary and involves definitive surgical and endoscopic management. We present a case of a common hepatic artery-bile duct fistula presenting as gastrointestinal hemorrhage.

Volume

10

Issue

5

First Page

E01056

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