Hemobilia Due to Cystic Artery Pseudoaneurysm: A Rare Late Complication of Laparoscopic Cholecystectomy | Zendy

Ricardo Badillo | Zendy; Michael D. Darcy | Zendy; Vladimir Kushnir | Zendy

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Hemobilia Due to Cystic Artery Pseudoaneurysm: A Rare Late Complication of Laparoscopic Cholecystectomy

Author(s) -

Ricardo Badillo,

Michael D. Darcy,

Vladimir Kushnir

Publication year - 2017

Publication title -

acg case reports journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.112

H-Index - 4

ISSN - 2326-3253

DOI - 10.14309/crj.2017.38

Subject(s) - medicine , pseudoaneurysm , endoscopic retrograde cholangiopancreatography , radiology , cholecystectomy , laparoscopic cholecystectomy , embolization , percutaneous , cystic artery , presentation (obstetrics) , complication , angiography , surgery , cystic duct , pancreatitis

We discuss a patient with late presentation of hemobilia following cholecystectomy, which is unusual because pseudoaneurysm caused by vascular injury during surgery typically presents soon after surgery. Endoscopic retrograde cholangiopancreatography revealed a large blood clot arising from the biliary orifice with subsequent computed tomography angiography diagnosing a large pseudoaneurysm in the region of the cystic artery adjacent to the cholecystectomy clips. Embolization was performed via direct percutaneous puncture of the pseudoaneurysm.

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