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Related Experiment Videos

Cholecystojejunostomy complicated by massive hemocholecyst.

D A Winters, D C Smith

    Radiology
    |July 1, 1982
    PubMed
    Summary

    Acute gastrointestinal hemorrhage after cholecystojejunostomy can originate from cystic arteries. Angiography should include hepatic artery injection to diagnose hemocholecyst in such cases.

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    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.

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