An Odd Case of Melena: Chronic Celiac Artery Dissection and Hepatic Arterioduodenal Fistula

• Main Authors: Lijesh Kumar, Cyriac Abby Philips, Philip Augustine
• Format: Article
• Language: English
• Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018-12-01
• Series: Journal of Gastrointestinal and Abdominal Radiology
• Subjects: dissecting aneurysm; computed tomography; melena; hepatoduodenal fistula; pseudoaneurysm; common hepatic artery
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676155

We present the case of a 54-year-old chronic alcoholic man who presented to the emergency department with intermittent melena for 3 days. Imaging revealed a large dissecting pseudoaneurysm of the common hepatic artery with an arterioduodenal fistula in the second part of the duodenum. The pseudoaneurysm and fistula were managed with refined interventional techniques, and supply to the hepatic arteries was salvaged. In cases of melena that are difficult to diagnose through traditional means, early imaging and interventional management can prove beneficial and improve short-term survival.