Gastrointestinal bleeding of obscured origin due to cystic artery pseudoaneurysm

Summary Cystic artery pseudoaneurysm is a rare condition, which usually arises from the complication of gallstone disease. Patients may present with Quinke's triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding). The results can be fatal if present with a ruptured pseudoa...

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Bibliographic Details
Published inAsian journal of surgery Vol. 40; no. 4; pp. 320 - 323
Main Authors She, WH, Tsang, Simon, Poon, Roonie, Cheung, TT
Format Journal Article
LanguageEnglish
Published China Elsevier Taiwan 01.07.2017
Elsevier
Subjects
Aneurysm, False - complications
Aneurysm, False - diagnosis
angiogram
Arteries
cystic artery
Gallbladder - blood supply
Gallbladder Diseases - complications
Gallbladder Diseases - diagnosis
gastrointestinal bleeding
Humans
Male
Melena - etiology
Middle Aged
obscured origin
pseudoaneurysm
Surgery
angiogram
obscured origin
cystic artery
pseudoaneurysm
gastrointestinal bleeding
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Summary:Summary Cystic artery pseudoaneurysm is a rare condition, which usually arises from the complication of gallstone disease. Patients may present with Quinke's triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding). The results can be fatal if present with a ruptured pseudoaneurysm. We report a patient who presented with upper gastrointestinal bleeding, and later diagnosis was confirmed with a computer tomography scan of the abdomen and a three-vessel angiogram. Endovascular intervention was attempted. Although it failed, the patient was eventually cured with an open cholecystectomy.
ISSN:1015-9584
0219-3108
DOI:10.1016/j.asjsur.2015.01.002