“Cystic artery pseudoaneurysm secondary to acute cholecystitis”.

cystic artey psuedoaneurysm

Abstract

Abstract

Aim: To identify the clinical presentation, complication, and treatment options of cystic artery pseudoaneurysm.

Background: Cystic artery Pseudoaneurysm is rare. It often arises post-operatively, following endoscopic retrograde cholangiopancreatography, and is rarely caused by acute cholecystitis. Clinical presentation is often followed by rupture of a pseudoaneurysm. Asymptomatic cystic artery pseudoaneurysm may be discovered incidentally on computed tomography. Ultrasound and computed tomography are useful noninvasive diagnostic methods. However, angiography is confirmatory. Selective transcatheter coil embolization can be successfully performed in most cases.

Case description: We report the case of a 32-year-old woman who has complained of abdominal pain, fever, and jaundice for 15 days. On evaluation, she had acute cholecystitis with choledocholithiasis and a cystic artery pseudoaneurysm. This was managed with percutaneous transcatheter embolization.

Conclusion: Incidentally detected cystic artery Pseudoaneurysm following acute cholecystitis is rare. Computed tomography with angiography is the ideal modality of investigation. Selective transcatheter coil embolization can be successfully performed in most cases with subsequent definitive treatment for the underlying pathology.