Sibria Dalal, Elawad Mohamed, Aker Loai J A, Barah Ali, Almokdad Omran, Ladumor Sushila B, Mohamed Maysa A, Al Rashid Amal A, Alahmad Yaman M, Kambal Aalaa
Radiology Department, Hamad Medical Corporation, Doha, QAT.
Cureus. 2024 Jul 15;16(7):e64551. doi: 10.7759/cureus.64551. eCollection 2024 Jul.
Cystic artery stump pseudoaneurysm (CASP) is a potentially life-threatening condition that can be related to multiple etiologies, especially the iatrogenic factor owing to the increased number of hepatobiliary procedures. Most patients present with haemobilia. Here we report a successfully managed case of CASP that initially complained of right upper abdominal pain. A 38-year-old patient developed bile duct injury after laparoscopic cholecystectomy (LC) which was identified by magnetic resonance cholangiopancreatography (MRCP). Later, she developed haemobilia due to CASP which was then treated by trans-arterial embolization (TAE). CASP is a rare complication of post-LC, yet potentially life-threatening, with possible delayed complications occurring months to years after the surgery. Clinicians and radiologists should be aware of this important entity and its variable manifestations to facilitate early treatment.
胆囊动脉残端假性动脉瘤（CASP）是一种可能危及生命的疾病，其病因多样，尤其是由于肝胆手术数量增加导致的医源性因素。大多数患者表现为胆道出血。在此，我们报告一例成功治疗的CASP病例，该患者最初主诉右上腹疼痛。一名38岁患者在腹腔镜胆囊切除术（LC）后发生胆管损伤，磁共振胰胆管造影（MRCP）确诊了这一情况。后来，她因CASP出现胆道出血，随后接受了经动脉栓塞术（TAE）治疗。CASP是LC术后罕见但可能危及生命的并发症，术后数月至数年可能出现延迟并发症。临床医生和放射科医生应了解这一重要疾病及其多样表现，以便早期治疗。
