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A 77−year−old woman was admitted to hospital with cholecystitis. After 8 days of antibiotic treatment she developed hy− potension, weakness, and anemia. Ab− dominal computed tomography showed a tense gallbladder containing blood and a round nodule which enhanced after ad− ministration of contrast material (Fig− ure 1). Doppler ultrasonography showed a nodule with arterial flow and a “ying yang” pattern (Figure 2), and selective an− giography revealed an cystic artery pseu− doaneurysm (Figure 3). Metallic coils were used as embolization material and full occlusion of the aneurysmal sac was achieved.

Hemorrhage into the gallbladder caused by pseudoaneurysm of the cystic artery