D. Srivastava et al., GASTROINTESTINAL-BLEEDING FROM A FALSE ANEURYSM OF THE HEPATIC-ARTERYAFTER CHOLECYSTECTOMY, The American journal of gastroenterology, 91(2), 1996, pp. 395-397
Acute gastrointestinal bleeding due to penetration of a partially thro
mbosed hepatic artery aneurysm into the duodenal bulb is rare but has
been reported, Ultrasound, computed tomography, and angiography are th
e methods of choice for aneurysm detection, If clinical review and end
oscopy are inconclusive in determining the cause of upper gastrointest
inal bleeding, and no usual diagnosis can be established, a search for
arteriointestinal fistula must be initiated.