Open Journal of Emergency Medicine, 2020, 8, 71-77 https://www.scirp.org/journal/ojem ISSN Online: 2332-1814 ISSN Print: 2332-1806 DOI: 10.4236/ojem.2020.83008 Aug. 6, 2020 71 Open Journal of Emergency Medicine Nonclassical Cause of Obstructive Jaundice: A Case Report of Multiple Visceral Arterial Aneurysms in a Young Patient Hassan Adnan Bukhari 1,2 , Noran Sultan 2 , Waed Jameel 2 1 Department of Surgery, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia 2 King Abdulaziz Hospital, Makkah, Saudi Arabia Abstract Multiple visceral artery aneurysms are relatively rare; the rarest are superior mesenteric artery and gastroduodenal artery aneurysms. The clinical presen- tation depends on the size and site of the aneurysm. We report the case of a 33-year-old man with recurrent episodes of obstructive jaundice and weight loss. Computed tomography with contrast revealed scattered hepatic arterial aneurysms with two other aneurysms along the course of the left gastro-duo- denal and superior mesenteric artery. Investigations to determine the etiology were negative, but the patient had a history of smoking and substance abuse. Angiography revealed an occluded feeding artery. The patient developed mul- tiorgan failure, leading to cardiac arrest and died. Diagnosing multiple viscer- al artery aneurysms needs a high index of suspicion; early diagnosis enables early intervention, which can reduce the high mortality of this condition. Keywords Multiple Visceral Artery Aneurysms (MVAA), Gastroduodenal Artery Aneurysms (GDA), Hepatic Arterial Aneurysms (HAA) 1. Introduction Multiple visceral artery aneurysms (MVAA) are relatively rare, ranging between 0.1% - 0.2% of the total incidence of aneurysms. Among hepatic artery aneu- rysms, 60% are extra-hepatic, 30% occur in the right hepatic artery, and only 5% occur in the left hepatic artery. Superior mesenteric artery (SMA) and gastro- How to cite this paper: Bukhari, H.A., Sultan, N. and Jameel, W. (2020) Nonclas- sical Cause of Obstructive Jaundice: A Case Report of Multiple Visceral Arterial Aneu- rysms in a Young Patient. Open Journal of Emergency Medicine, 8, 71-77. https://doi.org/10.4236/ojem.2020.83008 Received: July 2, 2020 Accepted: August 3, 2020 Published: August 6, 2020 Copyright © 2020 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access