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Pseudoaneurysm of anomalous cystic artery due to calculous cholecystitis

Varsha Kulkarni1, Hemant Deshmukh2, Rahul Gupta3

  • 1Department of General Surgery, Seth GSMC & KEMH, Mumbai, Maharashtra, India.

BMJ Case Reports
|November 19, 2014
PubMed

Insights

A rare cystic artery pseudoaneurysm caused haemobilia in a patient with gallstones. Multimodality treatment, including angioembolisation and stenting, successfully managed the condition before surgery.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Cystic artery pseudoaneurysms are uncommon causes of haemobilia, often linked to abdominal inflammation or trauma.
  • Chronic calculous cholecystitis can be associated with cystic artery abnormalities.

Observation:

  • A patient with chronic calculous cholecystitis presented with haemobilia due to a pseudoaneurysm of an anomalous cystic artery.
  • The pseudoaneurysm led to significant complications including jaundice.

Findings:

  • Successful management of cystic artery pseudoaneurysm with haemobilia was achieved using a combination of angioembolisation and common bile duct stenting.
  • Angioembolisation targeted the pseudoaneurysm, while stenting relieved biliary obstruction and jaundice.

Implications:

  • This case highlights the effectiveness of a multimodal approach in managing rare vascular complications of gallbladder disease.
  • Early diagnosis and intervention are crucial for favorable outcomes in patients presenting with haemobilia secondary to pseudoaneurysms.

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