2011 Volume 25 Issue 2 Pages 209-213
A gastrointestinal bleeding is a relatively common symptom. In some cases, bleeding origins do not be detected. We herein report a patient with a gastrointestinal bleeding due to ruptured hepatic artery aneurysm into biliary tract.
A 78-years-old woman, who underwent pylorus preserving pancreaticoduodenectomy for intraductal papillary mucinous neoplasm 7 years ago, was admitted an emergency hospital because of hematemesis and melena. Gastrointestinal fiber findings showed no any active bleeding points in stomach. The patient was transferred to our hospital because of continuous a gastrointestinal bleeding. In our hospital, gastrointestinal fiber findings showed active bleeding from intrahepatic bile duct at choledocojejunostomy. Enhanced computed tomography revealed a hepatic artery aneurysm at A4. We diagnosed the case as hepatic artery aneurysm which ruptured and caused hemobilia. The aneurysm was successfully embolized. Gastrointestinal bleeding should be considered possibly due to rupture of the hepatic artery aneurysm into biliary tract.
