The authors stress the insidious onset of the lesion, which first presented as a hepatic or a gallbladder disease. Diagnosis was established later by an arteriography after the occurrence of a state of shock. Evacuation of the hematoma surrounding the aneurysm appeared satisfactory to re-establish the circulation; this was confirmed by an arteriogram. A review of the literature reveales 18 such cases, with a high mortality rate, up to 100% where surgery was not performed.

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