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Pseudoaneurysm of cystic artery stump after laparoscopic cholecystectomy managed successfully with branch hepatic
Khizer Masroor Anns1, Faheemullah Khan2, Muhammad Aman2
1Medical College, The Aga Khan University, Karachi 74200, Pakistan.
Journal of Surgical Case Reports
|March 18, 2024
Summary
A rare cystic artery pseudoaneurysm developed in a patient after laparoscopic cholecystectomy due to an infected fluid collection. Angioembolization successfully treated this unusual complication, preventing further bleeding.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Radiology
Background:
- Cholecystitis and cholecystectomy can lead to rare complications.
- Cystic artery pseudoaneurysm is an unusual manifestation of post-cholecystectomy issues.
Observation:
- A 64-year-old male presented with hematemesis and anemia.
- He had a history of acute cholecystitis followed by laparoscopic cholecystectomy.
- A cystic artery pseudoaneurysm, secondary to infected fluid collection, was suspected.
Findings:
- Contrast-enhanced computed tomography (CT) abdomen confirmed the diagnosis.
- The pseudoaneurysm was identified as a complication of the infected fluid collection post-surgery.
Implications:
- Early diagnosis and intervention are crucial for managing cystic artery pseudoaneurysms.
- Angioembolization is an effective treatment for occluding pseudoaneurysms.
- This case highlights a rare but serious complication of cholecystectomy.

