TITLE:
Nonclassical Cause of Obstructive Jaundice: A Case Report of Multiple Visceral Arterial Aneurysms in a Young Patient
AUTHORS:
Hassan Adnan Bukhari, Noran Sultan, Waed Jameel
KEYWORDS:
Multiple Visceral Artery Aneurysms (MVAA), Gastroduodenal Artery Aneurysms (GDA), Hepatic Arterial Aneurysms (HAA)
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.8 No.3,
August
6,
2020
ABSTRACT: Multiple visceral artery aneurysms are relatively rare; the rarest are
superior mesenteric artery and gastroduodenal artery aneurysms. The clinical
presentation depends on the size and site of the aneurysm. We report the case
of a 33-year-old man with recurrent episodes of obstructive jaundice and weight
loss. Computed tomography with contrast revealed scattered hepatic arterial
aneurysms with two other aneurysms along the course of the left gastro-duodenal and superior
mesenteric artery. Investigations to determine the etiology were negative, but
the patient had a history of smoking and substance abuse. Angiography revealed an occluded feeding artery.
The patient developed multiorgan failure, leading to cardiac arrest and
died. Diagnosing multiple visceral artery aneurysms needs a high index of
suspicion; early diagnosis enables early intervention, which can reduce the
high mortality of this condition.