Ruptured cystic artery pseudoaneurysm: a clinical insight

Selective hepatic artery angiography (figure 3A) was done to localise the cystic artery pseudoaneurysm, followed by transarterial embolisation with two platinum micro-coils of 2 mm and 3 mm in size (figure 3B). In the past, cystic artery pseudoaneurysm ligation and cholecystectomy were the only trea...

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Published inBMJ case reports Vol. 17; no. 6; p. e259152
Main Authors Saha, Bijit, Parasar, Kunal, Kodali, Rohith, Anwar, Saad
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.06.2024
Subjects
Abdomen
Aneurysm, False - diagnostic imaging
Aneurysm, Ruptured - diagnostic imaging
Antibiotics
Case reports
Catheters
Cholecystectomy
Embolization
Embolization, Therapeutic - methods
Gallbladder diseases
Hemoglobin
Humans
Laparoscopy
Leukocytes
Medical imaging
Middle Aged
Patients
Pseudoaneurysm
Tomography, X-Ray Computed
Veins & arteries
Interventional radiology
Gastrointestinal surgery
Pancreas and biliary tract
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Summary:Selective hepatic artery angiography (figure 3A) was done to localise the cystic artery pseudoaneurysm, followed by transarterial embolisation with two platinum micro-coils of 2 mm and 3 mm in size (figure 3B). In the past, cystic artery pseudoaneurysm ligation and cholecystectomy were the only treatment options.6 The current standard of treatment in unstable patients with cystic artery pseudoaneurysm is digital subtraction angiography with therapeutic angioembolisation followed by interval cholecystectomy.7 Learning points Pseudoaneurysm of the cystic artery is a very rare entity that can also present with the rarest complication of gastric outlet obstruction. RK and SA were responsible for the investigation results and data analysis.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ObjectType-Report-1
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ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2023-259152