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Pseudoaneurysm of the cystic artery with upper gastrointestinal hemorrhage. Case report
1Department of Surgery, Veteran General Hospital-Taichung, Taichung, Taiwan.
Acta Chirurgica Scandinavica
|February 1, 1988
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.
Abstract:
A rare case of pseudoaneurysm of the cystic artery caused by acute cholecystitis is reported. During the severe inflammatory process the common bile duct, duodenum and transverse colon were eroded, in addition to the cystic artery. Findings at computed tomography prompted celiac angiography, which confirmed the preoperative diagnosis. Surgery was successful.