A RUPTURED HEPATIC-ARTERY ANEURYSM WITH P ERIODIC HEMATEMESIS AND HEMATOBILIA - A DIFFERENT ASPECT TO THE UPPER GASTROINTESTINAL-BLEEDING

Aneurysms of the hepatic artery are mostly localized extra hepatic (80 %). Today atherosclerosis is the most prevalent etiology (32%), follow ed by trauma (22%) and inflammatory lesions (10%). Rupture or perforat ion of the aneurysm is the initial clinical manifestation (60-80%), an d occurs with nearly equal frequency into the peritoneal cavity and in to the hepato-biliary tract. Rupture into bile ducts is often responsi ble for characteristic findings of upper gastrointestinal bleedings wi th hematemesis. the case of a 38-year-old man is presented and the cli nical manifestation, the diagnostic and therapeutic procedures are dem onstrated.