scholarly journals Hemobilia due to Spontaneous Rupture of Cystic Artery Pseudoaneurysm: A Rare Complication of Laparoscopic Cholecystectomy

2020 ◽  
pp. 95-98
Author(s):  
Sameer Ashok Rege ◽  
Supreet Marathe ◽  
Omprakash Rohondia
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Spontaneous Rupture ◽  
Rare Complication ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

scholarly journals Management of a pseudo-aneurysm in the hepatic artery after a laparoscopic cholecystectomy

2016 ◽  
Vol 98 (7) ◽  
pp. 456-460 ◽  
Author(s):  
MP Senthilkumar ◽  
N Battula ◽  
MTPR Perera ◽  
R Marudanayagam ◽  
J Isaac ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Laparoscopic Cholecystectomy ◽  
Hepatic Artery ◽  
Computed Tomography Angiography ◽  
Rare Complication ◽  
Artery Pseudoaneurysm ◽  
Pseudo Aneurysm ◽  
High Index Of Suspicion ◽  
Time Of Presentation

Introduction Symptomatic hepatic-artery pseudoaneurysm (HAP) after bile-duct injury (BDI) is a rare complication with a varied (but clinically urgent) presentation. Methods A prospectively maintained database of all patients with BDI at laparoscopic cholecystectomy (LC) referred to a tertiary specialist hepatobiliary centre between 1992 and 2011 was searched systematically to identify patients with a symptomatic HAP. Care and outcome of these patients was studied. Results Eight (6 men) of 236 patients with BDI (3.4%) with a median age of 65 (range: 54?6) years presented with symptomatic HAP. Median time of presentation of the HAP from the index LC was 31 (range: 13?16) days. Bleeding was the dominant presentation in 7 patients. One patient presented late (>2 years) with abdominal pain alone. Computed tomography angiography was the most useful investigation. Angioembolisation was successful in 7 patients. One patient died, and another patient developed liver infarction. Three patients (38%) developed biliary strictures after embolisation. Seven patients are alive and well at a median follow-up of 66 months. Conclusions Presentation of HAP is often delayed. A high index of suspicion is necessary for the diagnosis. Computed tomography angiography is the first-line investigation and selective angioembolisation can yield successful outcomes.

Post laparoscopic cholecystectomy cystic artery stump pseudoaneurysm: A rare complication treated with transarterial embolization

2014 ◽  
Vol 4 (5) ◽  
pp. 219-221
Author(s):  
Saumya Gupta ◽  
S. Hariprasad ◽  
Ajit K. Yadav ◽  
Samarjit S. Ghuman ◽  
Arun Gupta ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Rare Complication ◽  
Transarterial Embolization ◽  
Cystic Artery

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 Pseudoaneurysm of the cystic artery: a rare complication of laparoscopic cholecystectomy

HPB ◽  
1999 ◽  
Vol 1 (4) ◽  
pp. 231-233 ◽  
Author(s):  
K.J.P. van Wessem ◽  
L.J.D.M. Schelfhout ◽  
W.B. Becking ◽  
A.A.E.A. de Smet ◽  
J.F. Lange
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Rare Complication ◽  
Cystic Artery

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.

Post-laparoscopic Cholecystectomy Cystic Artery Stump Pseudoaneurysm Presenting With Haemobilia and Hematochezia: a Case Report With Literature Review

2021 ◽  
Author(s):  
Dalal Sibira ◽  
Mohamed Fatihelrahman Ahmed ◽  
Loai Aker ◽  
Ali Barah ◽  
Omran Almokdad ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Literature Review ◽  
Rare Complication ◽  
Arterial Embolization ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Cystic Artery ◽  
Level Of Evidence ◽  
Case Presentation ◽  
Bleeding Per Rectum

Abstract Background: Cystic artery stump pseudoaneurysm (CASP) is a potentially life-threating condition that can be related to multiple etiologies, especially the iatrogenic factor owing to the increased number of hepatobiliary procedures. Most patients present with haemobilia. Here we report a rare case of unusual presentation of CASP with recurrent haemobilia and hematochezia. Case presentation: A 38-year-old patient developed bile duct injury after laparoscopic cholecystectomy which was identified by magnetic resonance cholangiopancreatography (MRCP). Later, she developed haemobilia due to CASP which was then treated by trans-arterial embolization (TAE) followed by fresh bleeding per rectum one month later. The latter complication eventually required surgical ligation.Conclusions: CASP is a rare complication after cholecystectomy that can present as upper gastrointestinal bleeding or rarely as fresh bleeding per rectum. Level of evidence: Level 4, Case report and literature review

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
Sign in / Sign up

Export Citation Format

Share Document