Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

08 September 2014 : Case report  USA

Isolated Hepatic Artery Thrombosis Leading to Multiple Liver Infarcts in a Non-transplant Patient

Unusual clinical course, Challenging differential diagnosis, Rare disease

Tarek AlmouradiDEF, Paul CoE, William RilesE, Bashar AttarE

DOI: 10.12659/AJCR.890380

Am J Case Rep 2014; 15:382-387


BACKGROUND: Isolated hepatic artery thrombosis is an extremely rare disorder with only few cases reported in literature.

CASE REPORT: A 62-year-old female presented with five days of right upper quadrant pain, nausea and vomiting. Her physical exam was remarkable for right upper quadrant tenderness to palpation. Her initial laboratory work was significant for elevated aspartate aminotransferase, alanine aminotransferase (745 and 431 U/L respectively), compared to normal levels on a routine blood work done two days prior to admission. A computed tomography with administration of oral and intravenous contrast showed a thrombus within the hepatic artery with multiple hepatic infarcts; no portal vein thrombosis was noted. Hypercoagulabilty workup was unremarkable, she did not have any evidence of atrial fibrillation on ECG or telemetry. Over the following few days, AST and ALT levels continued to rise up to 2065 and 1217 U/L respectively on day five, and started to trend down after. However, Discussion: Hepatic infarcts following hepatic artery compromise are very rare because of the dual blood supply to the liver, along with the extensive hepatic arterial collateral system. The vast majority of cases of hepatic artery thrombosis are reported as complications of orthotopic liver transplantation; it also complicates various procedures.

CONCLUSIONS: We believe that our case is unique because of two reasons: 1.) Our patient did not undergo any procedure that may have precipitated hepatic artery thrombosis. 2.) Despite the absence of concurrent portal vein thrombosis, she had biochemical and imaging findings of hepatic ischemia.

Keywords: Diagnosis, Differential, Angiography, Electrocardiography, Hepatic Artery, Infarction - etiology, Liver - blood supply, Thrombosis - diagnosis, Tomography, X-Ray Computed

Add Comment 0 Comments

1059 16

In Press

01 Dec 2023 : Case report  Brazil

Life-Threatening Electrical Storm Following Liver Transplantation: A Case Report

Am J Case Rep In Press; DOI:  

01 Dec 2023 : Case report  Belgium

Innovative Approach to Difficult Airway Management: Utilizing the Cook® Airway Exchange Catheter for Double...

Am J Case Rep In Press; DOI:  

01 Dec 2023 : Case report  Saudi Arabia

Successful Conservative Therapy for Infected Penile Implants: A Case Series

Am J Case Rep In Press; DOI:  

30 Nov 2023 : Case report  Puerto Rico

Scuba Diving-Induced Inner-Ear Pathology: Imaging Findings of Superior Semicircular Canal and Tegmen Tympan...

Am J Case Rep In Press; DOI:  

Most Viewed Current Articles

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

07 Dec 2021 : Case report  USA

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923