Pseudoaneurysm of the cystic artery with upper gastrointestinal hemorrhage. Case report

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T C Wu1, T J Liu, Y J Ho

  • 1Department of Surgery, Veteran General Hospital-Taichung, Taichung, Taiwan.

Acta Chirurgica Scandinavica
|February 1, 1988
PubMed

Insights

A rare case of cystic artery pseudoaneurysm caused by acute cholecystitis is presented. Successful surgery followed diagnosis via computed tomography and celiac angiography.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Radiology

Background:

  • Acute cholecystitis can lead to severe inflammation and complications.
  • Cystic artery pseudoaneurysms are rare but potentially life-threatening complications.

Observation:

  • A patient presented with acute cholecystitis causing erosion of the common bile duct, duodenum, and transverse colon.
  • The inflammatory process also led to a pseudoaneurysm of the cystic artery.

Findings:

  • Computed tomography (CT) imaging suggested the diagnosis.
  • Celiac angiography confirmed the presence of the cystic artery pseudoaneurysm preoperatively.

Implications:

  • This case highlights the importance of considering vascular complications in severe acute cholecystitis.
  • Prompt diagnosis and surgical intervention are crucial for successful management.

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