Related Experiment Video
Updated: Jan 24, 2026

Induction of Cerebral Arterial Gas Embolism in Rat
Published on: October 18, 2024
Cystic Artery Hemorrhage after Cholecystostomy Catheter Exchange Treated with Transcatheter Embolization
David M Sada1,2, Zeyad A Metwalli1,2
1Diagnostic and Therapeutic Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas.
Insights
Hemorrhage from a cystic artery pseudoaneurysm, a rare complication after cholecystostomy, can cause significant bleeding. Transcatheter embolization effectively treated this condition in a patient with perihepatic hematoma and hemobilia.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Interventional Radiology
Background:
- Cystic artery pseudoaneurysms are uncommon but serious complications.
- Their exact pathogenesis, often linked to cholecystitis, remains unclear.
- Hemorrhage can lead to severe outcomes like perihepatic hematoma and hemobilia.
Purpose of the Study:
- To present a case of cystic artery pseudoaneurysm hemorrhage after cholecystostomy.
- To describe the management of this rare complication.
- To highlight the efficacy of transcatheter embolization.
Main Methods:
- A case report of a patient experiencing hemorrhage from a cystic artery pseudoaneurysm.
- The pseudoaneurysm developed post-cholecystostomy catheter exchange.
- Treatment involved transcatheter embolization with ethylene-vinyl alcohol copolymer.
Main Results:
- Successful hemorrhage control was achieved via transcatheter embolization.
- The patient's perihepatic hematoma and hemobilia resolved.
- No immediate complications were reported post-embolization.
Conclusions:
- Cystic artery pseudoaneurysm rupture is a potential complication of cholecystostomy.
- Transcatheter embolization is a safe and effective treatment option.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Abstract:
The pathogenesis of formation of cystic artery pseudoaneurysms is not well understood, but is thought to result from erosion of the cystic artery wall from the adjacent inflammatory process associated with acute or chronic cholecystitis. The presented case discusses an incident of hemorrhage from a cystic artery pseudoaneurysm resulting in a large perihepatic hematoma as well as hemobilia, which developed after a routine cholecystostomy catheter exchange. This was treated with transcatheter embolization using ethylene-vinyl alcohol copolymer.
More Related Videos
09:11Embolic Middle Cerebral Artery Occlusion MCAO for Ischemic Stroke with Homologous Blood Clots in Rats
Published on: September 17, 2014
09:49Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization
Published on: December 2, 2013
Related Concept Videos
Social Exchange Theory
Social Exchange Theory
Gas Exchange and Transport
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
Pulmonary Embolism I: Introduction
Cystic Fibrosis: Management
Sinus disease and chronic...