# Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report

## TL;DR

A rare case of hepatic artery pseudoaneurysms causing Quincke triad is reported, emphasizing the need for early diagnosis and multidisciplinary treatment.

## Contribution

This case report presents a rare clinical scenario of hepatic artery pseudoaneurysms with a biliary fistula and highlights effective multidisciplinary management.

## Key findings

- A 70-year-old female presented with Quincke triad and was diagnosed with multiple hepatic artery pseudoaneurysms.
- The patient was successfully treated with embolization and biliary stenting.
- Early diagnosis and multidisciplinary intervention are critical to prevent life-threatening complications.

## Abstract

Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction.

This report describes a 70-year-old female who presented to the emergency department with Quincke triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding) and was diagnosed with multiple hepatic artery pseudoaneurysms with a thrombosed fistulous connection to the biliary system. She was treated effectively with extensive embolization and biliary stenting.

This case underscores the importance of early diagnosis and highlights the role of multidisciplinary intervention in preventing life-threatening complications from hepatic artery aneurysms.