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Original Article

Post-traumatic hepatic arterial pseudoaneurysm and arterioportal shunt

Authors:

J Maes ,

Dept of Radiology, University Hospital Antwerp, Edegem
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O d’Archambeau,

Dept of Radiology, University Hospital Antwerp, Edegem Dept of Radiology, Sint-Augustinus Hospital, Wilrijk, Belgium
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A Snoeckx,

Dept of Radiology, University Hospital Antwerp, Edegem
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B Op de Beeck1,

Dept of Radiology, University Hospital Antwerp, Edegem
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M Voormolen,

Dept of Radiology, University Hospital Antwerp, Edegem
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P M Parizel

Dept of Radiology, University Hospital Antwerp, Edegem
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Abstract

The authors report the case of a 21-year-old man who suffered from a blunt abdominal trauma. Initial imaging revealed a liver laceration at the right lobe, a perirenal hematoma of the right kidney and a hematoma of the right adrenal gland. Follow-up MDCT-scan on day 10 after admission showed at the arterial-phase contrast-enhanced study perfusion alterations and two hepatic pseudoaneurysms. The diagnosis of pseudoaneurysm was confirmed and treated angiographically with superselective coil embolization. A follow-up CT-scan on day 17 showed at a nontreated area an arterioportal shunt and a wedge-shaped transient hepatic parenchymal enhancement. This was confirmed angiographically and subsequently treated with coil embolization.

How to Cite: Maes J, d’Archambeau O, Snoeckx A, Op de Beeck1 B, Voormolen M, Parizel PM. Post-traumatic hepatic arterial pseudoaneurysm and arterioportal shunt. Journal of the Belgian Society of Radiology. 2010;93(4):189–92. DOI: http://doi.org/10.5334/jbr-btr.282
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Published on 03 Apr 2010.
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