Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report
Abstract Background Hepatic pseudoaneurysm (HPA) is a rare complication that can occur after liver trauma and carries a high risk of rupture. HPA is usually asymptomatic until rupture, so performing routine surveillance of liver trauma patients is important. Most posttraumatic HPA occurs within the...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-06-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-023-01704-w |
| _version_ | 1797789592891424768 |
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| author | Tomoyuki Sugi Tsunehiko Maruyama Reiji Nozaki Masato Kawahara Megumi Kamoshida Sakura Narita Hideya Takaku Kazuaki Azuma Yoshiro Chiba Tatsuya Oda |
| author_facet | Tomoyuki Sugi Tsunehiko Maruyama Reiji Nozaki Masato Kawahara Megumi Kamoshida Sakura Narita Hideya Takaku Kazuaki Azuma Yoshiro Chiba Tatsuya Oda |
| author_sort | Tomoyuki Sugi |
| collection | DOAJ |
| description | Abstract Background Hepatic pseudoaneurysm (HPA) is a rare complication that can occur after liver trauma and carries a high risk of rupture. HPA is usually asymptomatic until rupture, so performing routine surveillance of liver trauma patients is important. Most posttraumatic HPA occurs within the first week after injury, so surveillance imaging ~ 7 days postinjury is suggested. Case presentation We herein report a 47-year-old man who was diagnosed with asymptomatic HPA 25 days after a knife injury. The patient was transferred to the emergency room after attempting suicide by stabbing himself in his abdomen with a knife. The knife was surgically removed, and the postoperative course was uneventful. Computed tomography (CT) on postoperative day (POD) 12 showed no HPA. However, follow-up CT on POD 25 revealed HPA. The HPA was treated with coil embolization. The patient was discharged with no complications. One year after the injury, the patient had no recurrence or medical problems. Conclusion When managing patients with penetrating liver trauma, it is important to note that HPA may not be identifiable on CT early after injury but may still develop later. |
| first_indexed | 2024-03-13T01:52:52Z |
| format | Article |
| id | doaj.art-cbcbfc340a2c42bb8bc0a5da0dade4d2 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-03-13T01:52:52Z |
| publishDate | 2023-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-cbcbfc340a2c42bb8bc0a5da0dade4d22023-07-02T11:25:29ZengSpringerOpenSurgical Case Reports2198-77932023-06-01911610.1186/s40792-023-01704-wAsymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case reportTomoyuki Sugi0Tsunehiko Maruyama1Reiji Nozaki2Masato Kawahara3Megumi Kamoshida4Sakura Narita5Hideya Takaku6Kazuaki Azuma7Yoshiro Chiba8Tatsuya Oda9Department of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Mito Saiseikai General HospitalDepartment of Surgery, Kureha General HospitalDepartment of Cardiovascular Medicine, Mito Saiseikai General HospitalDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of TsukubaAbstract Background Hepatic pseudoaneurysm (HPA) is a rare complication that can occur after liver trauma and carries a high risk of rupture. HPA is usually asymptomatic until rupture, so performing routine surveillance of liver trauma patients is important. Most posttraumatic HPA occurs within the first week after injury, so surveillance imaging ~ 7 days postinjury is suggested. Case presentation We herein report a 47-year-old man who was diagnosed with asymptomatic HPA 25 days after a knife injury. The patient was transferred to the emergency room after attempting suicide by stabbing himself in his abdomen with a knife. The knife was surgically removed, and the postoperative course was uneventful. Computed tomography (CT) on postoperative day (POD) 12 showed no HPA. However, follow-up CT on POD 25 revealed HPA. The HPA was treated with coil embolization. The patient was discharged with no complications. One year after the injury, the patient had no recurrence or medical problems. Conclusion When managing patients with penetrating liver trauma, it is important to note that HPA may not be identifiable on CT early after injury but may still develop later.https://doi.org/10.1186/s40792-023-01704-wHepatic pseudoaneurysmLiver traumaPenetrating |
| spellingShingle | Tomoyuki Sugi Tsunehiko Maruyama Reiji Nozaki Masato Kawahara Megumi Kamoshida Sakura Narita Hideya Takaku Kazuaki Azuma Yoshiro Chiba Tatsuya Oda Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report Surgical Case Reports Hepatic pseudoaneurysm Liver trauma Penetrating |
| title | Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report |
| title_full | Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report |
| title_fullStr | Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report |
| title_full_unstemmed | Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report |
| title_short | Asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury: a case report |
| title_sort | asymptomatic hepatic pseudoaneurysm identified 25 days after knife injury a case report |
| topic | Hepatic pseudoaneurysm Liver trauma Penetrating |
| url | https://doi.org/10.1186/s40792-023-01704-w |
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