A Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystoduodenal Fistula: A Case Report and Literature Review

Kim, Dong Hwi; Kim, Tae Ho; Kim, Chang Whan; Chang, Jae Hyuck; Han, Sok Won; Kim, Jae Kwang; Lee, Seung Hwan; Kim, Jeana

doi:10.7704/kjhugr.2018.18.2.135

Cited by 3 publications

(1 citation statement)

References 31 publications

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“… 1 Cystic artery pseudoaneurysms due to acute on chronic cholecystitis are very rare in spite of the high incidence of cholecystitis, and approximately 36 cases have been reported in the literature. 2 Most of the pseudoaneurysms are symptomatic at the time of diagnosis due to rupture. Very few cases of unruptured cystic artery pseudoaneurysm caused by cholecystitis have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Cystic Artery Pseudoaneurysm because of Cholecystitis Managed with Non-invasive Technique

Shrivastava,

Jindal,

Khan

et al. 2023

Middle East J Dig Dis

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Cystic artery pseudoaneurysm due to acute on chronic cholecystitis is very rare in spite of the high incidence of cholecystitis, and very few cases have been reported in the literature. Most of the pseudoaneurysms are symptomatic at the time of diagnosis due to rupture. Very few cases of unruptured cystic artery pseudoaneurysm caused by cholecystitis have been reported in the literature. We present a case of a 41-year-old man who presented in the Intervention Radiology Department with the diagnosis of cholecystitis and cystic artery pseudoaneurysm. Three treatment options are available for such cases. The first approach is surgical clipping of the pseudoaneurysm and cholecystectomy. The second approach is endovascular management of pseudoaneurysm and cholecystectomy. We chose the third approach, endovascular management of the pseudoaneurysm, percutaneous cholecystostomy, and elective laparoscopic cholecystectomy.

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Section: Introductionmentioning

confidence: 99%

A Rare Case of Cystic Artery Pseudoaneurysm because of Cholecystitis Managed with Non-invasive Technique

Shrivastava,

Jindal,

Khan

et al. 2023

Middle East J Dig Dis

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Cholecystitis causing rupture of the cystic artery and massive hemoperitoneum

Klein Nulend,

Tse,

Pollitt

2024

J Case Rep Images Surg

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Introduction: Cholecystitis is a common surgical pathology; however, it is uncommonly associated with hemorrhage. Cases of hemoperitoneum secondary to cholecystitis are usually in the context of cystic artery pseudoaneurysms; however, no reports describe rupture of a non-aneurysmal cystic artery. Case Report: We present a case of hemoperitoneum and hemorrhagic shock secondary to cholecystitis, with resultant rupture of a branch of the cystic artery, in the absence of a pseudoaneurysm. The patient was a middle-aged man who presented with severe right upper quadrant pain on a background of biliary colic. Imaging was consistent with cholecystitis, and significant volume free fluid in the right upper quadrant. The patient became shocked and was taken for laparoscopy, with conversion to laparotomy. 1.6 liters of hemoperitoneum was evacuated, and a cholecystectomy was performed. It appeared that a gallbladder perforation has caused rupture of a branch of the cystic artery, with resultant intraperitoneal hemorrhage. No pseudoaneurysm was identified. The patient made a complete recovery. Conclusion: This was a previously unreported, yet life-threatening complication of cholecystitis. This report aims to present a novel case and promote awareness of this dangerous complication.

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Upper Gastrointestinal Bleeding with Cholecystoduodenal Fistula

Seo¹

2022

Korean J Helicobacter Up Gastrointest Res

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Cholecystoduodenal fistula, caused by gallbladder stone, trauma, peptic ulcer disease, and malignancy, is an uncommon cause of upper gastrointestinal hemorrhage. I report a case of cholecystoduodenal fistula with upper gastrointestinal bleeding and gallbladder cancer. An 85-year-old male, complaining of hematemesis, was presented to the emergency department. Endoscopic examination revealed a 2 cm-sized ulceration at the first portion of the duodenum. Imaging studies, including CT, displayed cholecystoduodenal fistula accompanied with thickened gall bladder wall, air-fluid level in the gall bladder, and multiple hepatic metastatic lesions. The patient was referred for bleeding control surgery; however, he died due to recurrent and massive bleeding before surgery. Since bleeding from cholecystoduodenal fistula is associated with high mortality, early detection is critical for the prognosis. However, there is no typical symptoms and signs of cholecystodudodenal fistula. Additionally, diagnosis of cholecystoduodenal fistula using endoscopy alone was difficult. Therefore, it is recommended to use different diagnostic modalities, including enhanced CT.

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A Ruptured Cystic Artery Pseudoaneurysm with Concurrent Cholecystoduodenal Fistula: A Case Report and Literature Review

Cited by 3 publications

References 31 publications

A Rare Case of Cystic Artery Pseudoaneurysm because of Cholecystitis Managed with Non-invasive Technique

A Rare Case of Cystic Artery Pseudoaneurysm because of Cholecystitis Managed with Non-invasive Technique

Cholecystitis causing rupture of the cystic artery and massive hemoperitoneum

Upper Gastrointestinal Bleeding with Cholecystoduodenal Fistula

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