Acute hemobilia from a pseudoaneurysm of the cystic artery arising from the left hepatic artery: Case report and literature review
| Autor: | Vincenzo Magnano San Lio, Pietro Trombatore, Noemi Bellavia, Giuseppe Petrillo, Antonio Di Cataldo, Claudia Trombatore, Roberto Scilletta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
congenital hereditary and neonatal diseases and abnormalities Left hepatic artery medicine.medical_treatment Hemobilia Pseudoaneurysm cystic artery Case Report Cystic artery 03 medical and health sciences Pseudoaneurysm 0302 clinical medicine medicine.artery Medicine Embolization cardiovascular diseases Interventional radiology Anatomic variant splanchnic arteries medicine.diagnostic_test business.industry medicine.disease 030220 oncology & carcinogenesis cardiovascular system 030211 gastroenterology & hepatology Surgery Cholecystectomy Upper gastrointestinal bleeding Radiology Presentation (obstetrics) business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Hemobilia is a very rare emergency. Among non-iatrogenic causes pseudoaneurysm of cystic artery should be considered. • Knowledge of anatomical variations of cystic artery is fundamental in hepatobiliary surgical and radiologic procedures. • Because of extreme rarity of the aneurysms of cystic artery there are no guidelines about their management and treatment. Introduction Hemobilia represents only 6% of all causes of upper gastrointestinal bleeding. Presentation of case We report a rare case of a bleeding pseudoaneurysm of the cystic artery, due to a re-activation of a chronic cholecystitis, which arose with a mixed symptomatology: jaundices and hematemesis. Discussion The rarity of our patient is increased for some vascular anatomic variations detected by Computed Tomography that influenced the management of the disease. Our patient was treated by endovascular embolization of the pseudoaneurysm and subsequent cholecystectomy. Conclusion About pseudoaneurysm of the cystic artery only few cases have been already reported and to date there are no guidelines for its management. We describe both diagnostic features and therapeutic strategies in comparison to the most recent literature. |
| Databáze: | OpenAIRE |
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