A 65-year-old Asian man presented with a pulsatile mass in the right upper abdomen. There was no history of chronic disease. Physical examination revealed a pulsatile mass with tenderness at the right upper quadrant of the abdomen. Laboratory investigation revealed a total bilirubin concentration of 1.5 mg/dL. Ultrasonography and Doppler scan showed a cystic mass about 6 × 6 cm 2 in size with a to-and-fro colour flow. Computed tomography of the abdomen revealed an aneurysm of the common hepatic artery, 6.3 × 6 × 6 cm 3 in size, with mural thrombus ( Figs. 1 and 2 ). The proximal common hepatic artery exhibited severe stenosis.
Contrast-enhanced computed tomography of the abdomen demonstrating aneurysmal dilatation of common hepatic artery about 6.3 × 6 × 6 cm 3 with huge mural thrombus (arrow).
