Ruptured Multifocal Hepatic Aneurysms in a Woman with Systemic Lupus Erythematosus Successfully Treated with Transcatheter Arterial Embolization: A Case Report and Literature Review.
Sz-Iuan ShiuSu Ann YongKuo-Lung LaiChih-Wei TsengChen-Yu WangBor-Jen LeeYi-Hsing ChenPublished in: Case reports in hepatology (2019)
To present a first reported case of ruptured multifocal hepatic aneurysms in a woman with systemic lupus erythematosus (SLE) who was treated successfully with transcatheter arterial embolization (TAE) in literature, similar cases in the previous English literature were also reviewed and analyzed to summarize the clinical manifestations, management, and outcome in these patients. The data were gathered from the medical record and literature reviews were searched from PudMed. In our review, patients with SLE-related hepatic aneurysms were often middle-aged females. Most of them presented with acute abdominal pain and hypotension. The overall mortality rate was 50%, but it was lower (12.5%) in patients who received TAE. Both TAE and surgical intervention are used to treat SLE-related hepatic aneurysms. Our review raised concerns about early detection, diagnosis, and prompt intervention of possible hepatic aneurysm rupture in patients with SLE.
Keyphrases
- systemic lupus erythematosus
- disease activity
- systematic review
- randomized controlled trial
- middle aged
- end stage renal disease
- abdominal pain
- newly diagnosed
- rheumatoid arthritis
- chronic kidney disease
- healthcare
- subarachnoid hemorrhage
- prognostic factors
- intensive care unit
- drug induced
- acute respiratory distress syndrome
- artificial intelligence
- data analysis
- extracorporeal membrane oxygenation
- respiratory failure