PMID: 8887048Oct 1, 1996Paper

Pseudoaneurysm of the cystic artery associated with upper gastrointestinal bleeding

Journal of Gastroenterology
M NakajimaK Kato

Abstract

Pseudoaneurysm of the cystic artery is a cause of hemobilia, and is extremely rare, with only eight cases having been reported in the world literature. We report a case of pseudoaneurysm of the cystic artery in a 72-year-old Japanese man. The patient experienced epigastric pain and melena, and was found to have jaundice and liver dysfunction. Repeated gastroendoscopy did not reveal the cause of the alimentary tract bleeding; however, color-Doppler ultrasonography detected an aneurysm of the cystic artery in the gallbladder. Selective hepatic arteriography demonstrated that the posterior branch of the cystic artery was markedly dilated and that an aneurysm had formed in the midst of the artery. We diagnosed hemobilia due to the pseudoaneurysm of the cystic artery, and associated gastrointestinal bleeding. Cholecystectomy was performed immediately. Pathologically, the gallbladder showed acute calculous cholecystitis. This case emphasizes the importance of including hemobilia in the differential diagnosis whenever gastrointestinal bleeding is associated with signs of biliary disorder; color-Doppler imaging is a favorable modality for the diagnosis of pseudoaneurysm of the cystic artery.

References

Apr 1, 1977·The Surgical Clinics of North America·P Sandblom, V Mirkovitch
May 1, 1991·Cardiovascular and Interventional Radiology·S K StricklandJ J Raves
Jan 1, 1983·Southern Medical Journal·S C Reddy
Aug 1, 1980·Radiology·M J RyvickerH R Cohen

❮ Previous
Next ❯

Citations

Apr 18, 2006·Irish Journal of Medical Science·M R JoyceD O'Riordain
Jan 18, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W T Knoefel, A Rehders
May 19, 2009·Cardiovascular and Interventional Radiology·Russell MullenKieran D McBride
Mar 28, 2007·BMC Gastroenterology·Sundeep S SalujaTushar K Chattopadhyay
May 23, 2012·World Journal of Gastroenterology : WJG·Yeon Hwa YuMin Young Kim
Dec 1, 2013·Clinical Journal of Gastroenterology·Satoshi SuzukiAkio Takada
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·O L De Molla NetoW A Saad
Aug 21, 2015·International Journal of Surgery Case Reports·Sofronis LoizidesKrishna Kumar Singh
Sep 11, 1998·The American Journal of Gastroenterology·L KamanR N Katariya
Jun 20, 2001·The British Journal of Surgery·M H GreenN V Jamieson
Apr 28, 2017·BMJ Case Reports·Manoj ThillaiNazar Puthukudiyil Kader
Jan 25, 2003·Journal of Clinical Gastroenterology·Ene T C MeloIzolda M F Moura
Sep 1, 2016·Annals of the Royal College of Surgeons of England·M P SenthilkumarD F Mirza
Sep 7, 2019·SAGE Open Medical Case Reports·Manjusha DasRyan Nolte
May 24, 2016·BJR Case Reports·Thomas Charles HallMaruti Kumaran

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.