Yassine Hama, Chakiri A, Azzaoui F, Dahmane H, Lafrouji S, Benkabbou A, El Malki HO, Chefchaouni M, Ifrine L and Belkouchi A
Aneurysm of the hepatic artery is a rare and often asymptomatic pathology with a high risk of rupture. Its diagnosis is difficult. They require a preoperative angiographic examination to determine the location and extent of the aneurysm, to assess the circulation of locums and search for other locations. The treatment is mainly surgical, especially in case of acute complication, but arterial embolization is a good therapeutic alternative in some cases and especially in intrahepatic locations.
We report the case of a 54-year-old patient admitted for management of cholestatic jaundice that had appeared for 4 months, leading to the realization of radiological investigations that confirmed the diagnosis of aneurism of the hepatic artery compressing the bile duct main.
The patient was operated on, the procedure consisted of a flattening of the aneurysm with arterial reconstruction by saphenous graft right. The postoperative course was simple. With regression of biological cholestasis, and CT angiography showed good graft patency.
The aneurisms of the hepatic artery, in spite of their low incidence, represent pathology of considerable interest especially with regard to the clinical picture, the diagnostic means and the therapeutic management.