Hepatic or Cystic Artery Pseudoaneurysms Following a Laparoscopic Cholecystectomy: Literature review of aetiopathogenesis, presentation, diagnosis and management
| Autor: | Rashid Al-Sukaiti, Norman Oneil Machado, Mohamed Abdel Rahim, Shahzad Younus, Anupam K. Kakaria, Adil Al-Zadjali |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Oman Hemobilia laparoscopic cholecystectomy lcsh:Medicine Gallbladder Diseases Review Cystic artery 03 medical and health sciences Pseudoaneurysm Hepatic Artery Postoperative Complications 0302 clinical medicine medicine.artery medicine Humans Hemoperitoneum Aged business.industry Mortality rate lcsh:R Haemobilia pseudoaneurysm General Medicine medicine.disease Surgery medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Bile Ducts Radiology therapeutic embolization medicine.symptom Presentation (obstetrics) Complication business Aneurysm False Artery |
| Zdroj: | Sultan Qaboos University Medical Journal, Vol 17, Iss 2, Pp 135-146 (2017) |
| ISSN: | 2075-0528 2075-051X |
| DOI: | 10.18295/squmj.2016.17.02.002 |
| Popis: | Pseudoaneurysms (PSAs) of the hepatic and/or cystic artery are a rare complication following a laparoscopic cholecystectomy (LC). Generally, PSA cases present with haemobilia several weeks following the procedure. Transarterial embolisation (TAE) is considered the optimal management approach. We report a 70-year-old woman who presented to the Sultan Qaboos University Hospital, Muscat, Oman, in 2016 with massive hemoperitoneum two weeks after undergoing a LC procedure in another hospital. She was successfully managed using coil TAE. An extensive literature review revealed 101 cases of hepatic or cystic artery PSAs following a LC procedure. Haemobilia was the main presentation (85.1%) and the mean time of postoperative presentation was 36 days. The hepatic artery was involved in most cases (88.1%), followed by the cystic artery (7.9%) and a combination of both (4.0%). Most cases were managed with TAE (72.3%), with a 94.5% success rate. The overall mortality rate was 2.0%. |
| Databáze: | OpenAIRE |
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