Cystic artery pseudoaneurysm presenting as a complication of laparoscopic cholecystectomy treated with percutaneous thrombin injection

Clinical Imaging
Abhishek KumarSohail Contractor

Abstract

A 45-year-old woman status post laparoscopic cholecystectomy 3years ago presented with upper gastrointestinal bleeding. Endoscopy revealed hemobilia. Computed tomographic abdomen demonstrated a 2-cm aneurysm in the gall bladder fossa, consistent with a pseudoaneurysm. Initially, transcatheter coil embolization was attempted but recanalization of the aneurysm with recurrent bleeding in 2 days ensued. The aneurysm was then accessed percutaneously under ultrasound guidance and thrombin was injected into the aneurysm with subsequent complete thrombosis of the aneurysm and cessation of bleeding.

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Citations

Aug 8, 2017·Vascular and Endovascular Surgery·Richard H TapnioEric Berkowitz
Apr 2, 2019·Liver International : Official Journal of the International Association for the Study of the Liver·Alex ZhornitskiyJames H Tabibian
Jan 15, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Feng WenQi Yong Guo
Nov 18, 2017·Annals of Vascular Diseases·Kunihiro YagihashiYasuyuki Kurihara
Aug 18, 2018·Gastroenterology Research and Practice·Rani BerryJames H Tabibian
Jun 24, 2017·Journal of Clinical Gastroenterology·Scott CathcartMicheal Schuster
Nov 22, 2020·International Journal of Surgery Case Reports·Amber C TraaArjen L Diederik
May 4, 2021·Curēus·Pratishtha SinghDylan C Morgan
May 29, 2021·Journal of Minimal Access Surgery·Charalampos LampropoulosIoannis Kehagias

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