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  Vol. 137 No. 9, September 2002 TABLE OF CONTENTS
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Image of the Month

Sasan Najibi, MD; Thomas T. Terramani, MD; Vinod H. Thourani, MD; William T. Brinkman, MD; Alan B. Lumsden, MD; Thomas F. Dodson, MD
From the Division of Vascular Surgery, Emory University School of Medicine, Atlanta, Ga.

Arch Surg. 2002;137:1075-1076.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

AN 80-YEAR OLD MAN had a pulsatile abdominal mass on physical examination. Findings on computed tomography of his abdomen showed a 5.2-cm infrarenal abdominal aortic aneurysm (not shown). In addition to this finding, there was a calcified mass in the right upper quadrant of his abdomen (Figure 1).


Figure 1.


What Is the Diagnosis?

A. Superior mesenteric artery aneurysm

B. Calcified lymph node

C. Hepatic artery aneurysm

D. Celiac artery aneurysm



Answer: Hepatic Artery Aneurysm

Figure 1. Computed tomographic scan of abdomen demonstrating a calcified hepatic artery aneurysm.

Figure 2. Intraoperative photograph of the hepatic artery aneurysm. RHA indicates right hepatic artery; LHA, left hepatic artery; CHA, common hepatic artery, and GDA, gastroduodenal artery.

Most extrahepatic artery aneurysms are solitary, involving the common or right hepatic artery (Figure 2). . . . [Full Text of this Article]







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