Ruptured mycotic hepatic artery aneurysm associated with methicillin sensitive staphylococcal endocarditis

Case report

Ruptured mycotic hepatic artery aneurysm associated with methicillin sensitive staphylococcal endocarditis

Hamidreza Varastehravan1, Hasan Salmanroghani1, Aryan Naghedi1*

1 Shahid Sadoughi University of Medical Sciences and Healthcare Services
Iran, 97514, Yazd, Bahonar Sq. MVR and AVR operations were performed in Afshar Heart Center, Yazd, Iran and coil embolization was done in Cardiology
Department, Shahid Sadoughi Hospital, Yazd, Iran

* Corresponding author:
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Abstract

Hemobilia is a rare cause of upper gastrointestinal hemorrhage. Classical presentations of hemobilia are biliary colic, jaundice, hematochezia and melena. Persistent bleeding sometimes requires urgent therapeutic intervention, such as angiographic intervention or surgery. It may be secondary to trauma, inflammatory disorders, gallstones or tumors. Hepatic artery aneurysm rupture is a rare cause of gastrointestinal bleeding. Mycotic hepatic artery aneurysm is not a common vascular lesion, but it is considered to be a late complication of bacterial endocarditis. We present a 43 years old man with history of bacterial endocarditis that led to aortic valve replacement (AVR) and mitral valve replacement (MVR) about 9 months ago, with present complaint of rectal bleeding and dizziness. Angiographic studies suggested ruptured mycotic aneurysm in right hepatic artery, which was successfully treated with coil embolization.

Imprint

Hamidreza Varastehravan, Hasan Salmanroghani, Aryan Naghedi. Ruptured Mycotic Hepatic Artery Aneurysm Associated with Methicillin Sensitive Staphylococcal Endocarditis. Cardiometry; Issue 13; November 2018; p.81-85; DOI: 10.12710/cardiometry.2018.13.8185; Available from: http://www.cardiometry.net/ issues/no13-november-2018/ruptured-mycotic-hepatic-artery

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