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Case Reports
. 2014 Nov 17:2014:bcr2014207069.
doi: 10.1136/bcr-2014-207069.

Pseudoaneurysm of anomalous cystic artery due to calculous cholecystitis

Varsha Kulkarni  1 , Hemant Deshmukh  2 , Rahul Gupta  3
Affiliations
Case Reports

Pseudoaneurysm of anomalous cystic artery due to calculous cholecystitis

Varsha Kulkarni et al. BMJ Case Rep. .

Abstract

Pseudoaneurysm of the cystic artery is a rare cause of haemobilia resulting from either an inflammatory process in the abdomen or abdominal trauma. We report a case of a patient with chronic calculous cholecystitis associated with a pseudoaneurysm arising from an anomalous cystic artery who presented with haemobilia. The patient was managed successfully with multimodality treatment that included angioembolisation of the pseudoaneurysm and stenting of the common bile duct to relieve jaundice followed by elective open cholecystectomy.

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Figures

Figure 1
Figure 1
CT angiography showing cystic artery pseudoaneurysm arising from the gallbladder wall.
Figure 2
Figure 2
MR angiography of the abdomen (A) cystic artery pseudoaneurysm on axial images, (B) cystic artery pseudoaneurysm on sagittal images, (C) MR cholangiopancreatography showing mid-common bile duct narrowing with intrahepatic biliary radical dilatations.
Figure 3
Figure 3
Digital subtraction angiography (A) before embolisation showing anomalous cystic artery with pseudoaneurysm at its tip, (B) after embolisation.
Figure 4
Figure 4
Intraoperative photograph of pseudoaneurysm during open cholecystectomy.
See this image and copyright information in PMC

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