Highlights
- •Cystic artery pseudoaneurysm is a rare complication of cholecystitis or procedures, such as cholecystectomy.
- •Patients classically present with colicky abdominal pain, jaundice, and gastrointestinal bleeding.
- •The rising incidence of pediatric gallbladder disease may result in increased complications, such as this case.
Abstract
Cystic artery pseudoaneurysm is an exceedingly rare complication of biliary interventions,
such as cholecystectomy, or cholecystitis [1]. Prompt intervention is often required
due to their predisposition to bleeding. Ideal diagnosis and treatment would have
the patient go directly to Interventional Radiology for angiography and embolization,
followed by a short interval cholecystectomy [2, 3]. However, due to their low incidence
patients often undergo several less invasive diagnostic tests prior to diagnosis [4].
Here we describe what we believe is the first reported pediatric case of a cystic
artery pseudoaneurysm secondary to cholecystitis.
Keywords
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References
- Ruptured cystic artery pseudoaneurysm successfully treated with urgent cholecystectomy: a case report and literature review.Am J Case Rep. 2018; 19: 187-193
- Spontaneous cystic artery rupture: a rare cause of haemoperitoneum.Acta Chir Belg. 2009; 109: 106-108
- Semin Intervent Radiol. 2016; 33: 324-331
- Hemobilia.Curr Gastroenterol Rep. 2010; 12: 121-129
- Successful transcatheter arterial embolisation of a cystic artery pseudoaneurysm secondary to calculus cholecystitis: a case report.J Radiol Case Rep. 2010; 4: 18-22
- Perspective and role of the advanced endoscopist.Gastroenterol Res Pract. 2018; 20183670739
- Hepatic arterial injuries after percutaneous biliary interventions in the era of laparoscopic surgery and liver transplantation: experience with 930 patients.Radiology. 2008; 247: 880-886
- Embolization as a first approach with endoscopically unmanageable acute nonvariceal gastrointestinal hemorrhage.Radiology. 2001; 218: 739-748
- Nylon fibered versus non-fibered embolization coils: comparison in a swine model.J Vasc Interv Radiol. 2019; 30: 949-955
- Abdominal and pelvic aneurysms and pseudoaneurysms: imaging review with clinical, radiologic, and treatment correlation.Radiographics. 2013; 33: E71-E96
- A multicentre retrospective study of transcatheter angiographic embolization in the treatment of delayed haemorrhage after percutaneous nephrolithotomy.Eur Radiol. 2015; 25: 1140-1147
- Srinivasa RN. N-butyl cyanoacrylate embolotherapy: techniques, complications, and management.Diagn Interv Radiol. 2018; 24: 98-103
- Anatomical variations of the cystic artery.Eur J Morphol. 2003; 41: 31-34
- Severe biliary complications after hepatic artery embolization.World J Gastroenterol. 2002; 8: 119-123
Article info
Publication history
Published online: January 16, 2020
Accepted:
January 10,
2020
Received in revised form:
December 20,
2019
Received:
September 5,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
