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Cholecystojejunostomy complicated by massive hemocholecyst
Radiology
|July 1, 1982
Insights
Acute gastrointestinal hemorrhage after cholecystojejunostomy can originate from cystic arteries. Angiography should include hepatic artery injection to diagnose hemocholecyst in such cases.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Vascular Surgery
Background:
- Palliative cholecystojejunostomy is a surgical procedure to bypass an obstructed gallbladder.
- Acute gastrointestinal hemorrhage presents a significant clinical challenge.
Observation:
- Diagnostic arteriography was utilized in two patients presenting with acute gastrointestinal hemorrhage.
- Both patients had recently undergone palliative cholecystojejunostomy procedures.
Findings:
- Arteriography identified the source of bleeding to be the cystic arteries in both patients.
- This indicates hemocholecyst as a potential complication.
Implications:
- Clinicians should consider hemocholecyst in patients with gastrointestinal bleeding and a history of cholecystojejunostomy.
- Hepatic artery injection should be incorporated into angiographic studies for these patients to ensure accurate diagnosis.
Abstract:
Diagnostic arteriography was performed in two patients with acute gastrointestinal hemorrhage in whom palliative cholecystojejunostomies had recently been performed. Bleeding was found to be coming from the cystic arteries in both cases. In patients with gastrointestinal hemorrhage in whom there is a history of a cholecystojejunostomy, hemocholecyst should be considered and a hepatic artery injection included in the angiographic study.