Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report

Introduction: Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction. Case Report: This report describes a 70-year-old female who presented to the emergency department with Quincke triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding) and was diagnosed with multiple hepatic artery pseudoaneurysms with a thrombosed fistulous connection to the biliary system. She was treated effectively with extensive embolization and biliary stenting. Conclusion: This case underscores the importance of early diagnosis and highlights the role of multidisciplinary intervention in preventing life-threatening complications from hepatic artery aneurysms.

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Publication Details

Journal
Clinical Practice and Cases in Emergency Medicine
Published
2025-04-01
DOI
https://doi.org/10.5811/cpcem.35485
Primary Topic
Abdominal vascular conditions and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report

Andra Farcas, Courtney D. Wham, Robert Meller, Joachim Burman et al.
Clinical Practice and Cases in Emergency Medicine
Abdominal vascular conditions and treatments
article

Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report

Andra Farcas, Courtney D. Wham, Robert Meller, Joachim Burman, Premal Trivedi, Daria Nicke
article en

Abstract

Introduction: Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction. Case Report: This report describes a 70-year-old female who presented to the emergency department with Quincke triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding) and was diagnosed with multiple hepatic artery pseudoaneurysms with a thrombosed fistulous connection to the biliary system. She was treated effectively with extensive embolization and biliary stenting. Conclusion: This case underscores the importance of early diagnosis and highlights the role of multidisciplinary intervention in preventing life-threatening complications from hepatic artery aneurysms.

Clinical Practice and Cases in Emergency MedicineVol. 9(2)
Openalex Percentile: Top 89%
Abdominal vascular conditions and treatments
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