Pseudoaneurysm of the cystic artery: A diagnostic dilemma and rare cause of haemobilia

Joyce, Myles R.; Donnolly, M.; O’Shea, Leigh; Jeffers, Michael; Ó’Ríordáin, D. S.

doi:10.1007/bf03169011

Cited by 9 publications

(4 citation statements)

References 3 publications

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“…[12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Nonetheless, these imaging modalities were not diagnostic in the present case because a nearby gallstone and massive intracholecystic hematoma obscured the presence of the pseudoaneurysm. Instead, dynamic MRI was useful for its detection.…”

Section: Discussionmentioning

confidence: 83%

“…In a PubMed search of the literature (using key words pseudoaneurysm, cystic artery, and cholecystitis), only 15 such cases have been identifi ed in the English literature (Table 1). [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] One case of a cystic artery pseudoaneurysm caused by pancreatitis was excluded. 27 The 16 cases (including the present case) consisted of 11 men and 5 women whose ages ranged from 32 to 73 years (median, 65 years).…”

Section: Discussionmentioning

confidence: 99%

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Pseudoaneurysm of the Cystic Artery Secondary to Cholecystitis as a Cause of Hemobilia: Report of a Case

et al. 2007

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Spontaneous intracholecystic bleeding is very rare. We report herein a very rare case of a pseudoaneurysm of the cystic artery due to acute cholecystitis. A 58-year-old man presented at the emergency department complaining of colicky pain in the right upper quadrant. Dynamic magnetic resonance imaging demonstrated an early-enhanced pooling of contrast material (suggestive of a pseudoaneurysm of the cystic artery) inside the neck of the gallbladder. After the proximal control of the hepatic artery, the patient underwent a cholecystectomy and a ligation of the cystic artery. The resected specimen of the gallbladder showed evidence of a massive intracholecystic hematoma. Proximal to the impacted gallstone in the neck, a 2-cm diameter saccular-type pseudoaneurysm was identified. Although a pseudoaneurysm of the cystic artery is very rare, it should be included in the differential diagnosis of hemobilia. Once the pseudoaneurysm is confirmed, its embolization before a cholecystectomy (which can be attempted laparoscopically) may be useful to ensure the safety of the patient.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the Cystic Artery Secondary to Cholecystitis as a Cause of Hemobilia: Report of a Case

et al. 2007

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“…It has been proposed that repeated mechanical trauma to the gallbladder wall from gallstones may cause a local inflammatory reaction12 13 with involvement of the adjacent cystic artery wall 114–16 Persistent inflammation will lead to weakening of the arterial wall and pseudoaneurysm formation.…”

Section: Discussionmentioning

confidence: 99%

Transarterial catheter embolisation for an unusual cause of upper gastrointestinal haemorrhage

et al. 2015

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SUMMARYA 72-year-old man with a history of gallstones, and complex cardiac and endocrinological comorbidities, presented with severe abdominal pain and melaena. CT mesenteric angiogram showed a cystic artery pseudoaneurysm and gallbladder distended by haematoma. Subsequent mesenteric angiography confirmed a cystic artery pseudoaneurysm, which was successfully embolised with microcoils. The patient made a rapid recovery and was discharged after 3 days. BACKGROUND

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“…Pseudoaneurysms secondary to acute or chronic calculous cholecystitis are rare despite the high incidence of cholecystitis. To the best of our knowledge less than 25 such cases have been reported in the literature [2–25] .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic management of a cystic artery pseudoaneurysm in a patient with calculus cholecystitis

Loizides¹,

Ali²,

Newton³

et al. 2015

International Journal of Surgery Case Reports

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Pseudoaneurysm of the cystic artery: A diagnostic dilemma and rare cause of haemobilia

Cited by 9 publications

References 3 publications

Pseudoaneurysm of the Cystic Artery Secondary to Cholecystitis as a Cause of Hemobilia: Report of a Case

Pseudoaneurysm of the Cystic Artery Secondary to Cholecystitis as a Cause of Hemobilia: Report of a Case

Transarterial catheter embolisation for an unusual cause of upper gastrointestinal haemorrhage

Laparoscopic management of a cystic artery pseudoaneurysm in a patient with calculus cholecystitis

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