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. 2016:2016:1489013.
doi: 10.1155/2016/1489013. Epub 2016 Aug 22.

Laparoscopic Management of a Very Rare Case: Cystic Artery Pseudoaneurysm Secondary to Acute Cholecystitis

Deniz Alis  1 , Sina Ferahman  2 , Süleyman Demiryas  2 , Cesur Samanci  1 , Fethi Emre Ustabasioglu  1
Affiliations

Laparoscopic Management of a Very Rare Case: Cystic Artery Pseudoaneurysm Secondary to Acute Cholecystitis

Deniz Alis et al. Case Rep Surg. 2016.

Abstract

Pseudoaneurysm of a cystic artery is a rare entity that commonly occurs secondary to biliary procedures. Most of the cases in literature are consisted of ruptured aneurysms and to our knowledge, except our case, there were only 3 cases with unruptured aneurysms, which incidentally were detected by radiological methods. When cystic artery pseudoaneurysm is present with acute cholecystitis, most of the reports in literature suggested open cholecystectomy with the ligation of the cystic artery as a main treatment option. In this paper we present a case of acute cholecystitis with unruptured cystic artery pseudoaneurysm that incidentally was detected by computed tomography (CT). Cystic artery pseudoaneurysm was handled laparoscopically with simultaneous cholecystectomy. Due to high risk of rupture, surgeons have evaded laparoscopic approach to acute cholecystitis, which accompanied cystic artery pseudoaneurysm. However herein, we proved that laparoscopic management of cystic artery pseudoaneurysm with simultaneous cholecystectomy is feasible and reliable method.

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Figures

Figure 1
Figure 1
Coronal (a) and 3D reformatted images (b) of the patient. Arrows are indicating small cystic artery pseudoaneurysm.
Figure 2
Figure 2
Pre- (a) and postoperative images (b). Arrows demonstrated cystic artery pseudoaneurysms.
See this image and copyright information in PMC

References

    1. Baker K. S., Tisnado J., Cho S.-R., Beachley M. C. Splanchnic artery aneurysms and pseudoaneurysms: transcatheter embolization. Radiology. 1987;163(1):135–139. doi: 10.1148/radiology.163.1.3823426. - DOI - PubMed
    1. Loizides S., Ali A., Newton R., Singh K. K. Laparoscopic management of a cystic artery pseudoaneurysm in a patient with calculus cholecystitis. International Journal of Surgery Case Reports. 2015;14:182–185. doi: 10.1016/j.ijscr.2015.08.007. - DOI - PMC - PubMed
    1. Machida H., Ueno E., Shiozawa S., et al. Unruptured pseudoaneurysm of the cystic artery with acute calculous cholecystitis incidentally detected by computed tomography. Radiation Medicine—Medical Imaging and Radiation Oncology. 2008;26(6):384–387. doi: 10.1007/s11604-008-0243-x. - DOI - PubMed
    1. Maeda A., Kunou T., Saeki S., et al. Pseudoaneurysm of the cystic artery with hemobilia treated by arterial embolization and elective cholecystectomy. Journal of Hepato-Biliary-Pancreatic Surgery. 2002;9(6):755–758. doi: 10.1007/s005340200105. - DOI - PubMed
    1. Delgadillo X., Berney T., De Perrot M., Didier D., Morel P. Successful treatment of a pseudoaneurysm of the cystic artery with microcoil embolization. Journal of Vascular and Interventional Radiology. 1999;10(6):789–792. doi: 10.1016/S1051-0443(99)70116-8. - DOI - PubMed

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