Hepatic Artery Emboli Causing Fulminant Hepatitis

Isolated hepatic artery occlusion is usually considered an unlikely cause of significant hepatic ischemia in nontransplant patients. A 43-year-old nontransplant male patient with a history of atrial fibrillation treated with dabigatran presented with encephalopathy related to fulminant hepatitis (aspartate transaminase 19,250 UI/L, alanine transaminase 6,473 UI/L, international normalized ratio 8). Computerized tomographic scan demonstrated an occluded common hepatic artery (Fig a), a patent portal vein, and a left atrial appendage thrombus.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Images in IR Source Type: research