Work

A Rare Case of Hepatic Artery Vasospasm in a Native Liver

Year: 2025

Type: article

Abstract: Hepatic artery vasospasm (HAV) is a relatively uncommon vascular phenomenon that can arise after liver transplants. Its occurrence in a native liver presents an atypical clinical picture. There is a lack of suﬃcient data on its etiology, incidence, diagnostics and management leaving room for further investigation. This report presents a rare case of HAV in a 40-year-old woman with a native liver. A recent hip fall led to her admission, followed by markedly elevated liver enzymes one week later. Doppler ultrasound (US) revealed patent hepatic vasculature with an elevated resistivity index, which supported our presumed diagnosis. Because of limited data on preventative management for this diagnosis, we used the management of vasospastic angina to start a treatment course, which included a calcium channel blocker and a Statin. Her liver enzymes began to normalize, indicating a favorable response to treatment, ultimately leading to discharge.

Source: Cureus

DOI: 10.7759/cureus.93219

Authors: Chelsea Oduol, Ayomide Olusina, Alixis Dumorney, Tamara Harrell, Kyle Farrow, Stephen Symes

Institutions: St. George's University, Ross University School of Medicine, University of Miami

Language: English

Topic: Organ Transplantation Techniques and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414495200