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 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.

A case of gallbladder hemorrhage arising from a ruptured cystic artery pseudoaneurysm treated by arterial embolization with a successful follow-up two years later

2009 ◽  
Vol 72 (3) ◽  
pp. e115-e118 ◽  
Author(s):  
Valérie Laurent ◽  
Karine Montagne ◽  
Grégory Trausch ◽  
Laurence Choné ◽  
Christophe Bazin ◽  
...  
Keyword(s):  
Arterial Embolization ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm

scholarly journals Primary Lymphangioma of the Palatine Tonsil in a 9-Year-Old Boy: A Case Presentation and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Eleftheria Iliadou ◽  
Nektarios Papapetropoulos ◽  
Eleftherios Karamatzanis ◽  
Panagiotis Saravakos ◽  
Konstantinos Saravakos
Keyword(s):  
Literature Review ◽  
Histological Examination ◽  
Current Literature ◽  
Short Review ◽  
Clinical Suspicion ◽  
Palatine Tonsil ◽  
Benign Lesions ◽  
Case Presentation ◽  
The Right ◽  
Made In

Primary lymphangiomas or lymphangiomatous polyps of the palatine tonsil are rare benign lesions that are described infrequently in the literature. The majority of the published cases concern adults. We report a case of a lymphangiomatous lesion of the right palatine tonsil of a 9-year-old boy. Our clinical suspicion was confirmed by the histological examination after tonsillectomy and the diagnosis of primary lymphangioma of the tonsil was made. In this case we discuss the clinical and histopathological features of this lesion and present a short review of the current literature.

scholarly journals Internal hernia beneath superior vesical artery after pelvic lymphadenectomy for cervical cancer: a case report and literature review

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wen Ai ◽  
Zhihua Liang ◽  
Feng Li ◽  
Haihua Yu
Keyword(s):  
Cervical Cancer ◽  
Case Report ◽  
Literature Review ◽  
Internal Hernia ◽  
Radical Hysterectomy ◽  
Pelvic Lymphadenectomy ◽  
Case Presentation ◽  
The Common ◽  
Laparoscopic Pelvic Lymphadenectomy ◽  
The Right

Abstract Background The common complications of radical hysterectomy and pelvic lymphadenectomy usually include wound infection, hemorrhage or hematomas, lymphocele, uretheral injury, ileus and incisional hernias. However, internal hernia secondary to the orifice associated with the uncovered vessels after pelvic lymphadenectomy is very rare. Case presentation We report a case of internal hernia with intestinal perforation beneath the superior vesical artery that occurred one month after laparoscopic pelvic lymphadenectomy for cervical cancer. A partial ileum resection was performed and the right superior vesical artery was transected to prevent recurrence of the internal hernia. Conclusions Retroperitonealization after the pelvic lymphadenectomy should be considered in patients with tortuous, elongated arteries which could be causal lesions of an internal hernia.

scholarly journals Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management

2017 ◽  
pp. e135-146 ◽  
Author(s):  
Norman Machado ◽  
Adil Al-Zadjali ◽  
Anupam Kakaria ◽  
Shahzad Younus ◽  
Mohamed Rahim ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Literature Review ◽  
Cystic Artery ◽  
Diagnosis And Management

Massive upper gastrointestinal bleeding due to right hepatic artery pseudoaneurysm secondary to cholecystitis

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 665-668
Author(s):  
K. Habib ◽  
G. Williams
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hepatic Artery ◽  
Upper Gastrointestinal Bleeding ◽  
Japanese Literature ◽  
Biliary Tree ◽  
Artery Pseudoaneurysm ◽  
Right Hepatic Artery ◽  
Hepatic Artery Pseudoaneurysm ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

AbstractA literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant gastrointestinal bleeding. There are more than 10 reported cases of cystic artery pseudoaneurysms but a thorough search revealed only two cases in English (1,2) and perhaps one in Japanese literature of right hepatic artery pseudoaneurysm secondary to cholecystitis presenting as massive upper gastrointestinal bleed. We present a probable fourth case in a 52 year old woman with classical clinical/biochemical picture, typical radiological appearance and who underwent successful interventional radiological treatment of this condition.

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 Ruptured Cystic Artery Pseudoaneurysm Successfully Treated with Urgent Cholecystectomy: A Case Report and Literature Review

2018 ◽  
Vol 19 ◽  
pp. 187-193 ◽  
Author(s):  
Yuji Fujimoto ◽  
Yoshito Tomimaru ◽  
Hisanori Hatano ◽  
Kozo Noguchi ◽  
Hirotsugu Nagase ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Cystic Artery ◽  
Artery Pseudoaneurysm
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