1. Hemobilia Due to Cystic Artery Pseudoaneurysm: A Rare Late Complication of Laparoscopic Cholecystectomy
- Author
-
Ricardo Badillo, Vladimir Kushnir, and Michael D. Darcy
- Subjects
medicine.medical_specialty ,Percutaneous ,medicine.medical_treatment ,Cystic artery pseudoaneurysm ,Case Report ,Cystic artery ,03 medical and health sciences ,Pseudoaneurysm ,0302 clinical medicine ,medicine.artery ,medicine ,Embolization ,cardiovascular diseases ,Computed tomography angiography ,Endoscopic retrograde cholangiopancreatography ,medicine.diagnostic_test ,business.industry ,Biliary ,General Medicine ,medicine.disease ,Surgery ,030220 oncology & carcinogenesis ,cardiovascular system ,030211 gastroenterology & hepatology ,Cholecystectomy ,business - Abstract
We discuss a patient with late presentation of hemobilia following cholecystectomy, which is unusual because pseudoaneurysm caused by vascular injury during surgery typically presents soon after surgery. Endoscopic retrograde cholangiopancreatography revealed a large blood clot arising from the biliary orifice with subsequent computed tomography angiography diagnosing a large pseudoaneurysm in the region of the cystic artery adjacent to the cholecystectomy clips. Embolization was performed via direct percutaneous puncture of the pseudoaneurysm.
- Published
- 2017