BACKGROUND Cystic artery pseudoaneurysm is a condition rarely encountered by clinicians;this,its etiology and presentation as well as appropriate treatments are not well studied.Although it is treated by removal of th...BACKGROUND Cystic artery pseudoaneurysm is a condition rarely encountered by clinicians;this,its etiology and presentation as well as appropriate treatments are not well studied.Although it is treated by removal of the diseased gallbladder and cystic artery,such surgery can be difficult and risky if acute inflammation with bleeding occurs,and not every patient can tolerate the surgery.CASE SUMMARY An 81-year-old man complained of epigastric pain and tarry stool passage that lasted for 3 d.He had a medical history of poor cardiopulmonary function.The computed tomographic scan of abdomen showed cystic artery pseudoaneurysm and dilatation of gallbladder.Because of high adverse outcomes related to general anesthesia,the patient was successfully managed with endovascular embolization for this cystic artery pseudoaneurysm and percutaneous drainage for the distended gallbladder.CONCLUSION A patient with cystic artery pseudoaneurysm may quickly deteriorate with the occurrence of concurrent arterial bleeding and sepsis.This report presents the case of a patient who did not undergo surgery due to multiple cardiopulmonary comorbidities and whose condition was managed successfully with embolization and biliary drainage.Endovascular embolization and biliary drainage may provide an alternative option to manage this complicated condition.展开更多
BACKGROUND:Spontaneous hemoperitoneum of hepato- biliary origin is commonly due to hemorrhage from a liver tumor.It is rarely caused by spontaneous rupture of aneurysm in visceral arteries. METHODS:We report an unusua...BACKGROUND:Spontaneous hemoperitoneum of hepato- biliary origin is commonly due to hemorrhage from a liver tumor.It is rarely caused by spontaneous rupture of aneurysm in visceral arteries. METHODS:We report an unusual case of hemoperitoneum caused by rupture of cystic artery pseudoaneurysm,and also outline the approach to its management through surgical and radiological methods. RESULTS:In our patient,the pseudoanurysm was initially treated with percutaneous thrombin injection.However this method of treatment failed after initial success.The pseudoanurysm was finally obliterated successfully using microcoil embolization. CONCLUSIONS:The mainstay of treatment of cystic artery pseudoaneurysm is cholecystectomy and ligation of the aneurysm.Recent publications showed success in using microcoil embolisation.In this case we also outline the use of percutaneous thrombin injection as a definitive treatment method and discuss its success or failure as a new method of treatment.展开更多
BACKGROUND:Aneurysm of the cystic artery is no common,and it is a rare cause of hemobilia.Most o reported cases are pseudoaneurysms resulting from eithe an inflammatory process in the abdomen or abdomina trauma. METHO...BACKGROUND:Aneurysm of the cystic artery is no common,and it is a rare cause of hemobilia.Most o reported cases are pseudoaneurysms resulting from eithe an inflammatory process in the abdomen or abdomina trauma. METHOD:We report a healthy individual who developed hemobilia and acute pancreatitis associated with cysti artery aneurysm. RESULT:The patient was managed with angio-embolization with an uneventful post-embolization course. CONCLUSIONS:Visceral artery aneurysms are rare and can rupture with potentially grave outcome due to excessive bleeding.Angiographic embolization as a common method of treatment for visceral artery aneurysms was used in ou patient with good outcome.展开更多
Cholecystitis is a common disease in East Asia. Some of the patients developed cystic artery pseudoaneurysm,a rare complication of cholecystitis. Over the past decades, there have been Tess than 20 reports of patients...Cholecystitis is a common disease in East Asia. Some of the patients developed cystic artery pseudoaneurysm,a rare complication of cholecystitis. Over the past decades, there have been Tess than 20 reports of patients with cystic artery pseudoaneurysm in the literature. Among them, three of the patients had gallbladder perforation which led to hemorrhagic shock,la We report a case of an 88-year-old woman with a cystic artery pseudoaneurysm following an episode of acute cholecystitis.展开更多
文摘BACKGROUND Cystic artery pseudoaneurysm is a condition rarely encountered by clinicians;this,its etiology and presentation as well as appropriate treatments are not well studied.Although it is treated by removal of the diseased gallbladder and cystic artery,such surgery can be difficult and risky if acute inflammation with bleeding occurs,and not every patient can tolerate the surgery.CASE SUMMARY An 81-year-old man complained of epigastric pain and tarry stool passage that lasted for 3 d.He had a medical history of poor cardiopulmonary function.The computed tomographic scan of abdomen showed cystic artery pseudoaneurysm and dilatation of gallbladder.Because of high adverse outcomes related to general anesthesia,the patient was successfully managed with endovascular embolization for this cystic artery pseudoaneurysm and percutaneous drainage for the distended gallbladder.CONCLUSION A patient with cystic artery pseudoaneurysm may quickly deteriorate with the occurrence of concurrent arterial bleeding and sepsis.This report presents the case of a patient who did not undergo surgery due to multiple cardiopulmonary comorbidities and whose condition was managed successfully with embolization and biliary drainage.Endovascular embolization and biliary drainage may provide an alternative option to manage this complicated condition.
文摘BACKGROUND:Spontaneous hemoperitoneum of hepato- biliary origin is commonly due to hemorrhage from a liver tumor.It is rarely caused by spontaneous rupture of aneurysm in visceral arteries. METHODS:We report an unusual case of hemoperitoneum caused by rupture of cystic artery pseudoaneurysm,and also outline the approach to its management through surgical and radiological methods. RESULTS:In our patient,the pseudoanurysm was initially treated with percutaneous thrombin injection.However this method of treatment failed after initial success.The pseudoanurysm was finally obliterated successfully using microcoil embolization. CONCLUSIONS:The mainstay of treatment of cystic artery pseudoaneurysm is cholecystectomy and ligation of the aneurysm.Recent publications showed success in using microcoil embolisation.In this case we also outline the use of percutaneous thrombin injection as a definitive treatment method and discuss its success or failure as a new method of treatment.
文摘BACKGROUND:Aneurysm of the cystic artery is no common,and it is a rare cause of hemobilia.Most o reported cases are pseudoaneurysms resulting from eithe an inflammatory process in the abdomen or abdomina trauma. METHOD:We report a healthy individual who developed hemobilia and acute pancreatitis associated with cysti artery aneurysm. RESULT:The patient was managed with angio-embolization with an uneventful post-embolization course. CONCLUSIONS:Visceral artery aneurysms are rare and can rupture with potentially grave outcome due to excessive bleeding.Angiographic embolization as a common method of treatment for visceral artery aneurysms was used in ou patient with good outcome.
文摘Cholecystitis is a common disease in East Asia. Some of the patients developed cystic artery pseudoaneurysm,a rare complication of cholecystitis. Over the past decades, there have been Tess than 20 reports of patients with cystic artery pseudoaneurysm in the literature. Among them, three of the patients had gallbladder perforation which led to hemorrhagic shock,la We report a case of an 88-year-old woman with a cystic artery pseudoaneurysm following an episode of acute cholecystitis.
