Hepatic Artery Mycotic Aneurysm and Microabscesses: A Rare Complication of Infective Endocarditis with Classical Quincke’s Symptom
Fahd Haroon
Karachi X-rays and CT Scan Centre, M. A. Jinnah Road, Karachi, Pakistan.
Shayan Sirat Maheen Anwar *
Karachi X-rays and CT Scan Centre, M. A. Jinnah Road, Karachi, Pakistan.
Rujmaan Lodhi
Karachi X-rays and CT Scan Centre, M. A. Jinnah Road, Karachi, Pakistan.
Syed Mahmood
Karachi X-rays and CT Scan Centre, M. A. Jinnah Road, Karachi, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Hepatic artery branch mycotic aneurysm causing intrahepatic biliary dilatation and associated with hepatic micro abscesses is a rare complication of infective endocarditis and patient presenting with classical Quincke’s symptoms has not been reported in literature so far.
We report a case of 38 years old woman who presented with epigastric pain and obstructive jaundice. She has recently been diagnosed to have infective endocarditis. Hepatic artery pseudoaneurysm causing moderate intrahepatic biliary dilatation and micro abscesses was reported on contrast enhanced computed tomography (CT) scan and immediately conveyed to primary physician which led to successful selective transcatheter arterial embolization of the aneurysm, leading to early stabilization and recovery of the patient.
Keywords: Infective endocarditis, hepatic artery pseudoaneurysm, computed tomography.