{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:58:41Z","timestamp":1773658721409,"version":"3.50.1"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T00:00:00Z","timestamp":1697932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Hepatic Artery Pseudoaneurysm (HAP) is a rare and potentially fatal complication following liver transplantation, with unclear etiology. Various predisposing factors, including local infections, biliary-enteric anastomosis, particularly Roux-en-Y hepaticojejunostomy, vascular interventions, and iatrogenic injuries, have been identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We report a case of HAP occurring after liver re-transplantation in a twenty-year-old male patient who had initially undergone liver transplantation for cirrhosis resulting from autoimmune hepatitis. Subsequently diagnosed with chronic ischemic liver disease accompanied by diffuse cholangiopathy and a liver abscess, the patient underwent a liver re-transplantation. Within the early days post-re-transplantation, the patient presented symptoms of gastrointestinal bleeding and sudden hypotension. A high clinical suspicion led to prompt laparotomy, ultimately successful preserving both the graft and the recipient's life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>HAP is an uncommon complication following liver transplantation. This condition may remain asymptomatic until the rupture of the HAP, which can result in gastrointestinal bleeding, hypotension, and, eventually, mortality. While there have been emerging non-surgical techniques proposed for HAP treatment, surgical intervention remains the definitive solution for preserving the graft and ensuring the recipient's survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>HAP, while uncommon, represents a life-threatening complication post-transplantation. In the event of rupture, immediate intervention is imperative for the patient's survival. Hence, it is critical for surgeons to be cautious about this complication, recognize its symptoms, and be aware of associated risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.108989","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T11:41:21Z","timestamp":1698320481000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Successful Surgical Management of Ruptured Hepatic Artery Pseudoaneurysm Post-Liver Retransplant"],"prefix":"10.1097","volume":"112","author":[{"given":"Seyed Mohammad Reza","family":"Nejatollahi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arman","family":"Hasanzade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fariba","family":"Ghorbani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-77-20260316","doi-asserted-by":"crossref","first-page":"61","DOI":"10.5334\/jbr-btr.970","article-title":"Hepatic artery pseudoaneurysm: a life-threatening complication of liver transplantation","volume":"99","author":"Parlak,","year":"2015","journal-title":"J. Belg. Soc. Radiol"},{"key":"R2-77-20260316","doi-asserted-by":"crossref","first-page":"2150","DOI":"10.1016\/j.transproceed.2014.11.068","article-title":"Diagnosis and management of hepatic artery complications after liver transplantation","volume":"47","author":"Frongillo,","year":"2015","journal-title":"Transplant. Proc"},{"key":"R3-77-20260316","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4285\/kjt.23.0026","article-title":"Reoperation etiologies in the initial hospital stay after liver transplantation: a single-center study from Iran","volume":"37","author":"Nejatollahi,","year":"2023","journal-title":"Korean J. Transplant"},{"key":"R4-77-20260316","doi-asserted-by":"crossref","first-page":"417","DOI":"10.12659\/AOT.903367","article-title":"Hepatic artery pseudoaneurysm following orthotopic liver transplantation: increasing clinical suspicion for a rare but lethal pathology","volume":"22","author":"Harrison,","year":"2017","journal-title":"Ann. Transplant"},{"key":"R5-77-20260316","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s40792-022-01558-8","article-title":"Massive duodenal ulcer bleeding due to the ruptured hepatic artery pseudoaneurysm after living donor liver transplantation","volume":"8","author":"Kadohisa,","year":"2022","journal-title":"Surg. Case Rep"},{"key":"R6-77-20260316","first-page":"1","article-title":"Hepatic artery pseudoaneurysm in the liver transplant recipient: a case series","volume":"2019","author":"St. Michel,","year":"2019","journal-title":"Case Rep. Transplant"},{"key":"R7-77-20260316","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/j.avsg.2013.01.007","article-title":"Reversed saphenous bypass for hepatic artery pseudoaneurysm after liver transplantation","volume":"27","author":"Panaro,","year":"2013","journal-title":"Ann. Vasc. Surg"},{"key":"R8-77-20260316","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg"},{"key":"R10-77-20260316","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s00270-012-0408-y","article-title":"Extrahepatic pseudoaneurysms and ruptures of the hepatic artery in liver transplant recipients: endovascular management and a new iatrogenic etiology","volume":"36","author":"Saad,","year":"2013","journal-title":"Cardiovasc. Intervent. Radiol"},{"key":"R11-77-20260316","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1111\/j.1432-2277.2010.01186.x","article-title":"Hepatic arterial embolization for massive bleeding from an intrahepatic artery pseudoaneurysm using N-butyl-2-cyanoacrylate after living donor liver transplantation","volume":"24","author":"Ou,","year":"2011","journal-title":"Transpl. Int"},{"key":"R12-77-20260316","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1016\/j.transproceed.2015.11.017","article-title":"Early detection of a hepatic artery pseudoaneurysm after liver transplantation is the determinant of survival","volume":"48","author":"Jeng,","year":"2016","journal-title":"Transplant. Proc"},{"key":"R13-77-20260316","doi-asserted-by":"crossref","first-page":"1405","DOI":"10.1007\/s11605-016-3097-z","article-title":"Hepatic artery pseudoaneurysm after liver transplantation","volume":"20","author":"Reznichenko,","year":"2016","journal-title":"J. Gastrointest. Surg"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223011185?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223011185?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108989","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:01:02Z","timestamp":1773655262000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108989"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.108989","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]}}}