Fistula Between Cystic Artery Pseudoaneurysm and Cystic Bile Duct Cause of Acute Anemia One Year After Laparoscopic Cholecystectomy

2006 ◽  
Vol 16 (6) ◽  
pp. 609-612 ◽  
Author(s):  
Jens Heyn ◽  
Sandra Sommerey ◽  
Rupert Schmid ◽  
Klaus Hallfeldt ◽  
Stefan Schmidbauer
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm ◽  
Acute Anemia ◽  
One Year

scholarly journals Cystic vein: a guide for safer laparoscopic cholecystectomy

2017 ◽  
Vol 4 (10) ◽  
pp. 3238
Author(s):  
Debasish Samal ◽  
Rashmiranjan Sahoo ◽  
Sujata Priyadarsini Mishra ◽  
Krishnendu B. Maiti ◽  
Kalpita Patra ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Bile Duct Injury ◽  
Cystic Duct ◽  
Cystic Artery ◽  
Anatomic Landmark ◽  
Complications Of Laparoscopic Cholecystectomy ◽  
Constant Feature ◽  
The Relationship

Background: Major complications of laparoscopic cholecystectomy are bleeding and bile duct injury, and it is necessary to clearly identify structures endoscopically to keep bleeding and injury from occurring. The aim of this study was to depict the anatomic landmark in the Calots triangle, a vein (cystic vein), a constant feature which can help Laparoscopic surgeons to conduct a safe LC along with other precautions to be adopted. Methods: A total of 100 patients (58 male, 42 female) who underwent cholecystectomy were examined preoperatively by clinically. The origin and number of cystic veins and their relationship with the Calot triangle was evaluated. Results: The cystic veins were delineated intraoperatively in 80 of the 93 patients. The relationship between the cystic vein and the Calot triangle was identified in 80 (86.02%) of the 93 patients. One cystic vein was found in 53 (66.25%) patients, while multiple cystic veins were found in 27 (33.75%) patients. All these veins are above the cystic common bile duct junction. Conclusion: The configuration of the cystic veins and their relationship in the Calot triangle with cystic artery and cystic duct can be identified intraoperatively and used as a guideline for safe laparoscopic cholecystectomy. 

scholarly journals A Case of Laparoscopic Cholecystectomy for a Ruptured Cystic Artery Pseudoaneurysm

2018 ◽  
Vol 79 (12) ◽  
pp. 2495-2500
Author(s):  
Rui MARUKUCHI ◽  
Kenei FURUKAWA ◽  
Takeshi HASEGAWA ◽  
Hiroki OKUBO ◽  
Taro SAKAMOTO ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm

scholarly journals Artery to Cystic Duct: A Consistent Branch of Cystic Artery Seen in Laparoscopic Cholecystectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Arshad Rashid ◽  
Majid Mushtaque ◽  
Rajandeep Singh Bali ◽  
Saima Nazir ◽  
Suhail Khuroo ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Cystic Duct ◽  
Cystic Artery ◽  
Branching Pattern ◽  
Accurate Identification ◽  
Calot’S Triangle ◽  
Arterial Bleeding ◽  
Bile Duct Damage

Uncontrolled arterial bleeding during laparoscopic cholecystectomy is a serious problem and may increase the risk of bile duct damage. Therefore, accurate identification of the anatomy of the cystic artery is very important. Cystic artery is notoriously known to have a highly variable branching pattern. We reviewed the anatomy of the cystic artery and its branch to cystic duct as seen through the video laparoscope. A single artery to cystic duct with the classical “H-configuration” was demonstrated in 161 (91.47%) patients. This branch may cause troublesome bleeding during laparoscopic dissection in the hepatobiliary triangle. Careful identification of artery to cystic duct is helpful in the proper dissection of Calot’s triangle as it reduces the chances of hemorrhage and thus may also be helpful in prevention of extrahepatic biliary radical injuries.

scholarly journals Hemobilia Due to Cystic Artery Stump Pseudoaneurysm Following Laparoscopic Cholecystectomy: Case Presentation and Literature Review

2012 ◽  
Vol 97 (2) ◽  
pp. 140-144 ◽  
Author(s):  
Athanasios Petrou ◽  
Nicholas Brennan ◽  
Zahir Soonawalla ◽  
Michael Anthony Silva
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Literature Review ◽  
Arterial Embolization ◽  
Biliary Tree ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm ◽  
Case Presentation ◽  
Surgical Ligation ◽  
The Right ◽  
Upper Gastrointestinal

Abstract Hemobilia is the process of bleeding into the biliary tree and is an unusual cause of upper gastrointestinal hemorrhage. When this event results from a cystic artery pseudoaneurysm, it is a particularly rare phenomenon; fewer than 20 cases are described in the literature. Alongside the literature review, we report a case of a 34-year-old woman presenting 3 months post laparoscopic cholecystectomy with hematemesis. Computed tomography (CT) angiography revealed a cystic artery pseudoaneurysm. Following an ineffective hyperselective arterial embolization, the patient was successfully treated by surgical ligation of the right hepatic artery. Even though this complication is uncommon, all surgeons need to be aware of its presentation and of available therapeutic options.

scholarly journals Cystic artery pseudoaneurysm and haemobilia following laparoscopic cholecystectomy

HPB ◽  
2000 ◽  
Vol 2 (3) ◽  
pp. 355-358 ◽  
Author(s):  
N.C. Cho ◽  
I.Y. Kim ◽  
D.S. Kim ◽  
Y.J. Kim ◽  
B.S. Rhoe
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm

scholarly journals Left-sided gallbladder without situs inversus : report of a case

2018 ◽  
Vol 2 (3) ◽  
pp. 158
Author(s):  
Mehmet Sait Ozsoy ◽  
Fatih Buyuker ◽  
Aman Gapbarov ◽  
Nuray Colapkulu ◽  
Cem Ilgin Erol ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Situs Inversus ◽  
Health Sciences ◽  
Cystic Artery ◽  
Anatomical Position ◽  
Gall Stones ◽  
Stomach Pain ◽  
One Year ◽  
Rare Situation

A gallbladder that is placed on the left side of the liver without situs inversus is a very rare situation. This anatomical position makes harder to define with ultrasonography (US) before operation. A 41-years-old woman admitted with complaints of indigestion, bloating and stomach pain which started one year ago. Multiple millimetric gall stones were detected at ultrasonography, and there wasn’t any information about the anatomic position of the gallbladder. A laparoscopic cholecystectomy was scheduled for the patient. It was visualized that the gallbladder was embedded in the segment III of the liver intraoperatively. In such cases, the fact that vascular and biliary anomalies may accompany should be kept in mind as this condition may hinder the clear visualization of the cystic artery and duct which may bring the risk of iatrogenic injury.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 158-160

scholarly journals Colangiografía intraoperatoria: curva de aprendizaje en una Residencia de Cirugía General

2020 ◽  
Vol 112 (4) ◽  
pp. 498-507
Author(s):  
Santiago Darrigran ◽  
◽  
Lucas A. Ituriza ◽  
Nicolás Lanza ◽  
Luciano Mercuri ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Learning Curve ◽  
Bile Duct Injury ◽  
General Surgery ◽  
Senior Resident ◽  
Operative Cholangiography ◽  
Time Relationship ◽  
Duration Time ◽  
One Year

Background: The use of dynamic intra-operative cholangiography (dIOC) during laparoscopic cholecystectomy (Lap Chole) remains a topic under discussion. Objectives: This study aims to describe and evaluate the learning curve and findings in the dIOC during laparoscopic cholecystectomies performed by Residents of General Surgery, including it as a tool for a safe cholecystectomy, as well as training for the development of skills and abilities. Material and methods: Patients with indication of scheduled or emergency laparoscopic cholecystectomy were included. In the surgeries, traction was performed according to Hunter, critical safety vision and systematic dIOC, by a senior Resident and the dIOC by a less trained resident, tutored by a staff surgeon. Learning curve, operative times, dIOC time relationship with Lap Chole duration time (IOC/LC), repeated cystic dissection, cystic lithiasis and choledocholithiasis were evaluated. Results: 456 patients were operated for one year (2017-2018). It was observed that regardless of who performs the dIOC, they were able to improve their learning curve, objectifying shorter times for Lap Chole, dIOC and the IOC/LC relationship. The learning coefficients were better in complex surgeries in relation to the semester. 5.26 % had choledocholithiasis (n = 24), of these, 66.7% had cystic lithiasis (n = 16) and 25% associated cholecystitis (n = 6). All were resolved trancystically. There were no conversions and dIOC was performed in 100% of cases. Conclusion: The dIOC is an ideal procedure to be practiced systematically during residency. Because it gives the necessary training for the management of the transcystic pathway, allows avoiding an upper bile duct injury and the diagnosis of choledocholithiasis.

scholarly journals Laparoscopic treatment of cystic artery pseudoaneurysm in the presence of calculous cholecystitis

2017 ◽  
Vol 99 (6) ◽  
pp. e183-e184 ◽  
Author(s):  
B Zucker ◽  
U Walsh ◽  
D Nott
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Inflammatory Response ◽  
Acute Cholecystitis ◽  
Rare Disease ◽  
Cystic Artery ◽  
Chronic Cholecystitis ◽  
Laparoscopic Treatment ◽  
Artery Pseudoaneurysm ◽  
Calculous Cholecystitis ◽  
Routine Investigations

Cystic artery pseudoaneurysm is a very rare disease in which there is an abnormal, focal dilatation of the artery supplying the gallbladder. The condition may occur as a consequence of a localised inflammatory response, such as in cholecystitis. Here, we present the case of a 56-year-old man who presented with chronic cholecystitis in whom a 1.8 cm × 2 cm cystic artery pseudoaneurysm was found incidentally during laparoscopic cholecystectomy. Prior to the operation, routine investigations such as ultrasound revealed no indication of cystic artery pseudoaneurysm, ruptured or otherwise. This case is reported to emphasise that cystic artery pseudoaneurysm may be caused by chronic or acute cholecystitis and that skilled surgeons may handle them laparoscopically.

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