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Pediatric cystic artery pseudoaneurysm embolization
Michael Leshen1, Jessica Hubert2, Andrew Cantos1
1Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Insights
Cystic artery pseudoaneurysms are rare complications of gallbladder surgery or inflammation. This report details the first pediatric case of a cystic artery pseudoaneurysm caused by cholecystitis.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Pediatric Surgery
Background:
- Cystic artery pseudoaneurysms are rare, potentially life-threatening complications following biliary interventions or cholecystitis.
- Prompt diagnosis and intervention, ideally via angiography and embolization, are crucial due to bleeding risk.
- Patients often experience delayed diagnosis due to the rarity of the condition.
Observation:
- This report presents the first documented case of a cystic artery pseudoaneurysm in a pediatric patient.
- The pseudoaneurysm was secondary to cholecystitis, a common gallbladder inflammation.
Findings:
- The case highlights a cystic artery pseudoaneurysm in a pediatric patient.
- The etiology was linked to cholecystitis.
Implications:
- This case expands the understanding of cystic artery pseudoaneurysms in pediatric populations.
- It underscores the importance of considering this rare diagnosis in pediatric patients presenting with relevant symptoms.
- Early recognition and appropriate management are vital for favorable outcomes.
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.
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