case_images: PMC11359706_01
case_images: The finding of enhanced abdominal computed tomography (CT) on ER admission. (A) Enhanced abdominal CT showing swelling of the celiac artery trunk (short arrow) and a low-density area (long arrow) in the lateral segment of the liver with blood ascites around the liver (arrowhead). (B) Abdominal CT angiography with 3D imaging demonstrating irregular aneurysms in the celiac artery (arrowhead), common hepatic artery (short arrow), and right hepatic artery (long arrow).
case_images: AMS2-11-e984-g004.jpg
case_images: PMC11359706_01_AMS2-11-e984-g004.jpg
case_images: ams2984-fig-0001
case_images: Contrast-enhanced CT of the abdomen on admission to the ER (Figure 1) revealed hematogenous ascites on the liver surface, a swollen aneurysm of the celiac artery, and a wedge-shaped, low-density area in the lateral area of the liver.
case_images: The findings and treatment of angiography. (A) Digitally subtracted image showing stenosis at the origin of the celiac trunk artery and aneurysms in the celiac artery (arrowhead), common hepatic artery (short arrow), and right hepatic artery (long arrow). However, the periphery of the right hepatic artery could not be visualized. (B) Postembolization of the right hepatic artery by multiple coils. (C) Digitally subtracted image showing multiple aneurysms (arrowheads) in both renal arteries.
case_images: AMS2-11-e984-g003.jpg
case_images: PMC11359706_01_AMS2-11-e984-g003.jpg
case_images: ams2984-fig-0002
case_images: Figure 2 shows the angiographic findings.
case_images: The physical characteristics of the case.  Permission for exposure of body parts was obtained from the patient. (A, B) Front and side faces featuring thin lips, small chin, and large eyes (eyes are sealed to ensure anonymity). (C) Chest wall featuring thin translucent skin. (D) Thumb featuring hypermobility of finger joints. (E) Abdominal skin featuring keroid formation of surgical scar. (F) Elbow featuring hyperextensibility of skin.
case_images: AMS2-11-e984-g001.jpg
case_images: PMC11359706_01_AMS2-11-e984-g001.jpg
case_images: ams2984-fig-0003
case_images: He had the characteristic physical findings of vascular EDS (Figure 3), including increased vascular permeability of the skin, a small jaw, keloids on the surgical scar from the past 12-years, and joint hypermobility.