BACKGROUND: Treatment of patients with extrahepatic artery aneurysms (HAAs) is not well defined. The aim of this study was to report 4 patients with HAAs treated by ligation and to underline the rationale of this technique. METHODS: From 2000 to 2006, 4 consecutive patients, including 1 with bile duct compression and 1 with hemobilia, presented with symptomatic HAAs. Preoperative imaging included spiral computed axial tomography with computed axial tomography-assisted arteriography in all patients and diagnostic arteriography in 1 patient. One patient underwent unsuccessful transarterial embolization. All patients were treated surgically by ligation with preservation of the collateral network identified by preoperative imaging. RESULTS: During a 6- to 70-month range of follow-up, there was no postoperative mortality, surgical morbidity, or adverse consequences on liver function tests. CONCLUSIONS: Ligation is a simple and efficient treatment in patients with symptomatic extrahepatic artery aneurysm, even those with bile duct obstruction.
BACKGROUND: Treatment of patients with extrahepatic artery aneurysms (HAAs) is not well defined. The aim of this study was to report 4 patients with HAAs treated by ligation and to underline the rationale of this technique. METHODS: From 2000 to 2006, 4 consecutive patients, including 1 with bile duct compression and 1 with hemobilia, presented with symptomatic HAAs. Preoperative imaging included spiral computed axial tomography with computed axial tomography-assisted arteriography in all patients and diagnostic arteriography in 1 patient. One patient underwent unsuccessful transarterial embolization. All patients were treated surgically by ligation with preservation of the collateral network identified by preoperative imaging. RESULTS: During a 6- to 70-month range of follow-up, there was no postoperative mortality, surgical morbidity, or adverse consequences on liver function tests. CONCLUSIONS: Ligation is a simple and efficient treatment in patients with symptomatic extrahepatic artery aneurysm, even those with bile duct obstruction.
Authors: Mehdi Soufi; Abdelatif Settaf; Bouziane Mohammed; Tijani Harroudi; Rahal Messrouri; Jalil Mdaghri; Ahmed Taghy; Bouziane Chad Journal: Pan Afr Med J Date: 2014-08-21