In Images in Clinical Medicine

A 76-year-old lady, with past medical history of hypertension, presented to the hospital with complains of severe right upper abdominal pain for 6 days prior to admission. A complete laboratory evaluation was non-revealing. An emergency computed tomography (CT) scan of the abdomen and pelvis revealed a hepatic artery aneurysm measuring 4 x 4 x 6 cm with unstable appearance (Figures 1,2,3). As the patient was a Jehovah’s Witness, and was not going to consent to receive any blood or blood product transfusion if needed, she was taken to the angiography suite emergently where a hepatic artery angiogram was performed. This was followed by embolization with an 8 mm coil, with successful reduction in the size of the aneurysm.

Severe abdominal pain in a Jehovah’s Witness patient

Recent Posts
Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.

Start typing and press Enter to search