Rare case of cystic artery pseudoaneurysm

BMJ Case Rep. 2018 Mar 28:2018:bcr2017223789. doi: 10.1136/bcr-2017-223789.

Abstract

A patient with a cystic artery pseudoaneurysm (CAP) presented to the emergency department with upper abdominal and back pain. The patient also had clinical signs of sepsis. CT revealed gallstones with acute suppurative cholecystitis with a gallbladder perforation. In addition, a CAP was also suspected and subsequently diagnosed on CT angiography. The pseudoaneurysm was treated with embolisation and a cholecystostomy was performed for the gallbladder perforation. Following her acute admission, the patient underwent an elective cholecystectomy and made a good recovery post surgery.

Keywords: biliary intervention; general surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, False / complications
  • Aneurysm, False / diagnostic imaging*
  • Aneurysm, False / therapy*
  • Cholecystitis, Acute / complications*
  • Cholecystostomy / methods
  • Computed Tomography Angiography / methods
  • Diagnosis, Differential
  • Embolization, Therapeutic / methods*
  • Female
  • Gallbladder / diagnostic imaging
  • Gallbladder / surgery
  • Gallbladder Diseases / complications
  • Gallbladder Diseases / diagnostic imaging*
  • Gallbladder Diseases / therapy*
  • Gallstones / complications
  • Gallstones / diagnostic imaging
  • Gallstones / therapy
  • Humans
  • Spontaneous Perforation / complications
  • Spontaneous Perforation / diagnostic imaging
  • Spontaneous Perforation / therapy