Cystic Artery Pseudoaneurysm: Over Warfarinisation and Management

Parathithasan, Nishanthinie; Croagh, Daniel

doi:10.17659/01.2013.0072

JCR

2013

DOI: 10.17659/01.2013.0072

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Cystic Artery Pseudoaneurysm: Over Warfarinisation and Management

Nishanthinie Parathithasan¹,

Daniel Croagh²

Abstract: Abstract:Cystic artery pseduoaneurym is a rare cause of haemobilia. A 78 year old man who was over-warfarinised, developed jaundice, upper abdominal pain and melena. He also required blood transfusions due to rapidly reducing haemoglobin. Computed tomography showed a cystic artery pseudoaneurysm caused by possible cholecystitis or gallbladder cancer. He successfully underwent angiographic coil embolisation. Haemobilia should be considered a differential cause of gastrointestinal bleeding if the above clinical … Show more

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Cited by 2 publications

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Giant true hepatic aneurysm mimicking Mirizzi syndrome

Corion

Vriens

Alwayn

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Giant true aneurysms of the hepatic arteries are rare. Pseudoaneurysms of the hepatic arteries are more common and are mostly caused by intra-abdominal infection, iatrogenic injury, or trauma. Hepatic or cystic pseudoaneurysms are often successfully treated by embolization owing to their saccular nature as opposed to true aneurysms. We present a case of a patient with a giant true aneurysm of the proper hepatic artery, mimicking Mirizzi syndrome. Open reconstruction was successfully preformed, and the patient made a full recovery.

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Giant true hepatic aneurysm mimicking Mirizzi syndrome

Corion

Vriens

Alwayn

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Cholecystitis causing rupture of the cystic artery and massive hemoperitoneum

Klein Nulend,

Tse,

Pollitt

2024

J Case Rep Images Surg

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Introduction: Cholecystitis is a common surgical pathology; however, it is uncommonly associated with hemorrhage. Cases of hemoperitoneum secondary to cholecystitis are usually in the context of cystic artery pseudoaneurysms; however, no reports describe rupture of a non-aneurysmal cystic artery. Case Report: We present a case of hemoperitoneum and hemorrhagic shock secondary to cholecystitis, with resultant rupture of a branch of the cystic artery, in the absence of a pseudoaneurysm. The patient was a middle-aged man who presented with severe right upper quadrant pain on a background of biliary colic. Imaging was consistent with cholecystitis, and significant volume free fluid in the right upper quadrant. The patient became shocked and was taken for laparoscopy, with conversion to laparotomy. 1.6 liters of hemoperitoneum was evacuated, and a cholecystectomy was performed. It appeared that a gallbladder perforation has caused rupture of a branch of the cystic artery, with resultant intraperitoneal hemorrhage. No pseudoaneurysm was identified. The patient made a complete recovery. Conclusion: This was a previously unreported, yet life-threatening complication of cholecystitis. This report aims to present a novel case and promote awareness of this dangerous complication.

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Cystic Artery Pseudoaneurysm: Over Warfarinisation and Management

Cited by 2 publications

References 10 publications

Giant true hepatic aneurysm mimicking Mirizzi syndrome

Giant true hepatic aneurysm mimicking Mirizzi syndrome

Cholecystitis causing rupture of the cystic artery and massive hemoperitoneum

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