Ruptured Common Hepatic Artery Aneurysm Masquerading as an Intestinal Obstruction

Visceral artery aneurysms are uncommon but can present as life-threatening often fatal emergencies when ruptured. Hepatic artery aneurysms account for 20% of splanchnic artery aneurysms and are associated with a 25% rupture rate with 70%-100% mortality. We report a case of a 33-year-old male who presented with a 1-day history of severe epigastric pain associated with hypotension and anaemia with no clinical signs of overt bleeding nor history of trauma. Computed tomography abdomen and pelvis showed a ruptured saccular common hepatic aneurysm which was successfully embolized by our interventional radiologist.