Symptomatic pseudoaneurysms following laparoscopic cholecystectomy: Focus on an unusual and dangerous complication.

Journal of Minimal Access Surgery
Charalampos LampropoulosIoannis Kehagias


Laparoscopic cholecystectomy (LC) has been associated with an increase in the incidence of biliary and vascular injuries. Pseudoaneurysms (PAs) following LC are rare life-threatening events with limited available experience regarding diagnosis and treatment. An extensive review of literature during a 26-year period (1994-2020) using MEDLINE® database and Google Scholar® academic search engine revealed 134 patients with at least one symptomatic PA following LC. Nearly. 81% of patients with PAs become symptomatic during the first 8 weeks following LC. The most common symptoms were gastrointestinal bleeding (74%) and abdominal pain (61%). In 28% of cases, there was a concomitant bile duct injury or leak from the cystic duct stump, whereas in about one-third of cases, PAs presented following an uneventful LC. The most common involved arteries were the right hepatic artery (70%), the cystic artery (19%) or both of them (3%). Trans-arterial embolisation was the favoured first-line treatment with a success rate of 83%. During a median follow-up of 9 months, the mortality rate was 7%. Clinicians should be aware of the PA occurrence following LC. Prompt diagnosis and treatment are essential.


Feb 1, 1991·Archives of Surgery·N A Halasz
Mar 1, 1995·The Australian and New Zealand Journal of Surgery·B T StewartN A Collier
Jan 1, 1996·Cardiovascular and Interventional Radiology·S M RivitzP B Kelsey
Aug 1, 1997·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·F C LaingS Mondro
Mar 11, 1998·Journal of Clinical Gastroenterology·A RibeiroJ R Spivey
Feb 4, 1999·Cardiovascular and Interventional Radiology·T NicholsonC Royston
Aug 30, 2001·Annals of Vascular Surgery·M M Levy
May 23, 2002·Surgery·Pierre F SaldingerElvira Lang
Dec 24, 2002·Pediatric Radiology·Valerie ChigotJosee Dubois
Jan 22, 2003·ANZ Journal of Surgery·Elie Yahchouchy-ChouillardAbe Fingerhut
Feb 4, 2003·Acta chirurgica Belgica·T BulutA Poyanli
Oct 18, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Nael E A SaadDeborah J Rubens
Jan 25, 2006·The British Journal of Surgery·S Connor, O J Garden
Dec 14, 2006·Digestive Surgery·George Tzovaras, Christos Dervenis
Jan 25, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jens HeynStefan Schmidbauer
Feb 1, 2007·Journal of Vascular Surgery·Nirman TulsyanKenneth Ouriel
Jul 5, 2007·Journal of Vascular and Interventional Radiology : JVIR·Hicham Moukaddam, Aghiad Al-Kutoubi
Aug 24, 2007·AJR. American Journal of Roentgenology·Karen M HortonElliot K Fishman
Oct 16, 2007·Digestive Diseases and Sciences·J J SebastiánG Ceña
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·T ChristensenL Sher
Apr 25, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Dimitrios G ParthenisTheodoros Vassilakopoulos
Nov 12, 2009·World Journal of Emergency Surgery : WJES·Vincenzo NapolitanoFrancesco Sciannameo
Jan 28, 2010·American Journal of Surgery·Caroline A Yao, Tracey D Arnell
Mar 13, 2010·Journal of Vascular Surgery·Jared R Hylton, William C Pevec
Jul 9, 2010·BMC Gastroenterology·Halil AlisErsan Aygun
Dec 17, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Steven M Strasberg, W Scott Helton
Jun 1, 2006·Journal of Minimal Access Surgery·G Roche-NagleP Harte
Jan 22, 2011·Journal of Medical Case Reports·Viplove SenadhiSudhir Dutta
Sep 1, 2008·Seminars in Interventional Radiology·Sandeep VaidyaJarvis Chen
May 3, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew K HadjMehrdad Nikfarjam
Mar 1, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Yaël ButetFrançois-René Pruvot
Jan 5, 2014·Annals of Vascular Diseases·Alfredo C Cordova, Bauer E Sumpio
Feb 7, 2014·Journal of Minimal Access Surgery·Nilanjan PandaRamesh Ardhanari
Feb 18, 2014·International Journal of Surgery Case Reports·Ahmet RencuzogullariAbdullah Ulku
Apr 20, 2014·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Solafah AbdallaStéphane Bonnet

❮ Previous
Next ❯

Related Concepts

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.


Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.


Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.