False Aneurysm of the Hepatic Artery after Laparoscopic Cholecystectomy

Bulut, Türker; Yamaner, Sümer; Buğra, Dursun; Akyüz, Ali Rıza; Poyanlı, Arzu

doi:10.1080/00015458.2002.11679352

Cited by 24 publications

(55 citation statements)

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“…4,5,[9][10][11][12][13]15,[17][18][19][20][21][24][25][26][27][28][29][30][31][33][34][35][37][38][39][40][41][42][43][46][47][48]51,57,58,60,62 The time of presentation following the LC procedure ranged from six days to five years with a mean of 36 days. [3][4][5][7][8][9][10][11][12][13]15,[17][18]…”

Section: Literature Review M E T H O D Smentioning

confidence: 99%

“…The TAE procedure alone failed to control bleeding in four cases (5.5%), resulting in a 94.5% success rate. 6,7,15,42 One of these cases was managed further using a percutaneous thrombin injection, while two cases were managed by exploratory laparotomy and ligation of vessels.…”

Section: Literature Review M E T H O D Smentioning

confidence: 99%

“…6,7,42 Among the cases treated with TAE, complications included liver abscesses (n = 10; 13.7%), post-embolisation syndrome and hepatic ischaemia (n = 9; 12.3%),postoperative bleeding for a month (n = 1; 1.4%) and erosion of the stent into the common bile duct (CBD; n = 1; 1.4%). 3,15,16,37,45 The overall mortality rate was 2.0% (n = 2).…”

Section: Literature Review M E T H O D Smentioning

confidence: 99%

“…3,15,16,37,45 The overall mortality rate was 2.0% (n = 2). 7,40 One fatality was due to severe haemorrhagic relapse following repair of the PSA, resulting in irreversible hypovolaemic shock despite re-exploration and ligation. 40 In the second case, the patient died from a concomitant injury to the portal vein.…”

Section: Literature Review M E T H O D Smentioning

confidence: 99%

“…2,6 Patients who present postoperatively with PSAs may develop hemoperitoneum or haemobilia. [3][4][5][6][7][8][9] This article describes a patient with a PSA of the hepatic artery originating in the cystic artery and then presents an extensive review of the scientific literature regarding the aetiopathogenesis, presentation, diagnosis and management of PSAs following LC procedures.…”

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confidence: 99%

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Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management

Machado¹,

Alzadjali²,

Kakaria³

et al. 2017

SQUMJ

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Pseudoaneurysms (PSAs) of the hepatic and/or cystic artery are a rare complication following a laparoscopic cholecystectomy (LC). Generally, PSA cases present with haemobilia several weeks following the procedure. Transarterial embolisation (TAE) is considered the optimal management approach. We report a 70-year-old woman who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with massive hemoperitoneum two weeks after undergoing a LC procedure in another hospital. She was successfully managed using coil TAE. An extensive literature review revealed 101 cases of hepatic or cystic artery PSAs following a LC procedure. Haemobilia was the main presentation (85.1%) and the mean time of postoperative presentation was 36 days. The hepatic artery was involved in most cases (88.1%), followed by the cystic artery (7.9%) and a combination of both (4.0%). Most cases were managed with TAE (72.3%), with a 94.5% success rate. The overall mortality rate was 2.0%.

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Section: Literature Review M E T H O D Smentioning

confidence: 99%

Section: Literature Review M E T H O D Smentioning

confidence: 99%

Section: Literature Review M E T H O D Smentioning

confidence: 99%

Section: Literature Review M E T H O D Smentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management

Machado¹,

Alzadjali²,

Kakaria³

et al. 2017

SQUMJ

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Elderly man with abdominal and chest pain

2020

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Hemobilia and cystic artery stump pseudoaneurysm associated with liver abscess after a laparoscopic cholecystectomy: Report of a case

et al. 2008

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A 63-year-old woman was admitted for cholecystitis and underwent a laparoscopic cholecystectomy (LC). She experienced abdominal pain and hemobilia 11 days after the LC. Angiography was performed but it did not show any source of bleeding. Thereafter, at 27 days after LC, a repeat angiogram was performed which revealed a pseudoaneurysm (PA) arising from a cystic artery stump and an embolized PA sack. However, another PA arising from near the embolized PA and liver abscess was observed 4 days after embolization. The arterial collateral flow was evaluated by endovascular balloon occlusion of the right hepatic artery and it was embolized proximal and distal to the bleeding point. The embolization of the partial hepatic artery was effective for PA when packing the PA sack proved to be insufficient. In patients with liver cirrhosis or liver abscess who require an adequate arterial liver flow, it is important to evaluate the collateral arterial flow before hepatic artery embolization.

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False Aneurysm of the Hepatic Artery after Laparoscopic Cholecystectomy

Cited by 24 publications

References 0 publications

Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management

Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management

Elderly man with abdominal and chest pain

Hemobilia and cystic artery stump pseudoaneurysm associated with liver abscess after a laparoscopic cholecystectomy: Report of a case

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