Patients, Policy and Practice Improvements| Volume 61, P80-83, May 2020

Pediatric cystic artery pseudoaneurysm embolization


      • 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.


      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.


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