Figure 1. Contrast-enhanced CT and angiography at symptom onset.
Contrast-enhanced CT obtained immediately after the onset of abdominal pain shows multiple hepatic artery aneurysms.
(A) Axial arterial-phase image and (B) coronal arterial-phase image demonstrate several aneurysms. Intraperitoneal hemorrhage originating from the A5 branch is suspected (yellow arrow), and a hematoma is present in the hepatic hilum (red arrow). No arterial aneurysms were identified in locations other than the liver.
(C) Three-dimensional reconstructed CT highlights the extravasation at the A5 branch (yellow arrow).
(D) Angiography confirms contrast extravasation from the same site (yellow arrow).
(E) Coil embolization was performed at the A5 branch (yellow arrow), clearly showing coil deployment at the bleeding site.
CT: computed tomography.
From: Ruptured Hepatic Artery Aneurysms Revealing Systemic Lupus Erythematosus
