Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Clin Imaging. 2020 May;61:80-83. doi: 10.1016/j.clinimag.2020.01.011. Epub 2020 Jan 16.
Cystic artery pseudoaneurysm is an exceedingly rare complication of biliary interventions, such as cholecystectomy, or cholecystitis [1]. Prompt intervention is often required due to their predisposition to bleeding. Ideal diagnosis and treatment would have the patient go directly to Interventional Radiology for angiography and embolization, followed by a short interval cholecystectomy [2, 3]. However, due to their low incidence patients often undergo several less invasive diagnostic tests prior to diagnosis [4]. Here we describe what we believe is the first reported pediatric case of a cystic artery pseudoaneurysm secondary to cholecystitis.
胆囊动脉假性动脉瘤是胆道介入治疗(如胆囊切除术或胆囊炎)后罕见的并发症之一[1]。由于其易于出血,通常需要及时介入治疗。理想的诊断和治疗方法是让患者直接到介入放射科进行血管造影和栓塞,然后间隔很短时间进行胆囊切除术[2,3]。然而,由于其发病率低,患者在确诊前通常会接受多项侵入性较低的诊断检查[4]。在这里,我们描述了我们认为是首例儿童胆囊炎继发胆囊动脉假性动脉瘤的病例。