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  • Title: Post-traumatic hepatic arterial pseudoaneurysm and arterioportal shunt.
    Author: Maes J, D'Archambeau O, Snoeckx A, Op de Beeck B, Voormolen M, Parizel PM.
    Journal: JBR-BTR; 2010; 93(4):189-92. PubMed ID: 20957889.
    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.
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