Cystic artery pseudoaneurysm with haemobilia after laparoscopic cholecystectomy

Cystic Artery Variations and Associated Vascular Complications in Laparoscopic Cholecystectomy

“…Pseudoaneurysm formation is resulted in by vascular injuries. The important causes consist of arterial access procedures, accident trauma, and surgical trauma [34]. Cystic artery pseudoaneurysm which develops carrying out a cholecystectomy and leading to upper gastrointestinal bleeding are usually an unusual entity, with merely four instances referred to inside the literature [35] .Generally, in most patients (80%), the PSA typically presents roughly a month following LC surgery; on the other hand, delayed PSA presentation after 5 years following the surgical procedure had been documented in the literature [36,37].…”

“…A result of exposure to the tip of the metal clip utilized to occlude the cystic duct [38]. The management of their patient incorporated several plans such as attaining hemostasis, managing the cystic duct stump leak, alleviating obstructive jaundice, managing the infections with antibiotics, and depleting the intra-abdominal collection [34].…”

“…It can result in acute hemodynamic imbalances, requiring diagnosis, accessibility, and control over the pseudoaneurysm. Arterial-phase CT is an excellent initial noninvasive mode of detection of LC complication's [34]. This technology not only help to gauge intra-abdominal collection, biliary tree dilatation, and doable bile duct injury, but also to visualize pseudoaneurysms or hemorrhage [34] Several different treatment methods have already been documented within the literature together with selective embolization and coiling, open cholecystectomy with ligation of the aneurysm, or perhaps a two-step approach involving radiological treatments for the pseudoaneurysm accompanied by an elective cholecystectomy [45].…”

“…Arterial-phase CT is an excellent initial noninvasive mode of detection of LC complication's [34]. This technology not only help to gauge intra-abdominal collection, biliary tree dilatation, and doable bile duct injury, but also to visualize pseudoaneurysms or hemorrhage [34] Several different treatment methods have already been documented within the literature together with selective embolization and coiling, open cholecystectomy with ligation of the aneurysm, or perhaps a two-step approach involving radiological treatments for the pseudoaneurysm accompanied by an elective cholecystectomy [45]. Angiography is a significant restorative technique simply because it make possible for embolization of the cystic pseudoaneurysm, transforming an urgent scenario to a semi elective one [50].…”

Revision Roux-en-y hepaticojejunostomy for a post-cholecystectomy complex vasculobiliary injury with complete proper hepatic artery occlusion: A case report and literature review

“…They present a formidable challenge to the multidisciplinary team treating these patients. During management, complete right and left hepatic arterial occlusion due to accidental coil migration during embolization of a cystic artery stump pseudoaneurysm is an extremely rare complication [2,3]. We present a case depicting our strategy to tackle this obstacle in the management of CVBI.…”