Kulkarni Varsha, Deshmukh Hemant, Gupta Rahul
Department of General Surgery, Seth GSMC & KEMH, Mumbai, Maharashtra, India.
Department of Radiology, Seth GSMC & KEMH, Mumbai, Maharashtra, India.
BMJ Case Rep. 2014 Nov 17;2014:bcr2014207069. doi: 10.1136/bcr-2014-207069.
Pseudoaneurysm of the cystic artery is a rare cause of haemobilia resulting from either an inflammatory process in the abdomen or abdominal trauma. We report a case of a patient with chronic calculous cholecystitis associated with a pseudoaneurysm arising from an anomalous cystic artery who presented with haemobilia. The patient was managed successfully with multimodality treatment that included angioembolisation of the pseudoaneurysm and stenting of the common bile duct to relieve jaundice followed by elective open cholecystectomy.
胆囊动脉假性动脉瘤是由腹部炎症或腹部创伤引起的胆道出血的罕见原因。我们报告一例患有慢性结石性胆囊炎且伴有由异常胆囊动脉形成的假性动脉瘤的患者,该患者出现了胆道出血。通过多模式治疗成功治愈了该患者,治疗包括对假性动脉瘤进行血管栓塞以及对胆总管进行支架置入以缓解黄疸,随后择期进行开放性胆囊切除术。