Cystic artery pseudoaneurysm
Updates to Article Attributes
Cystic artery pseudoaneurysmpseudoaneurysms isare rare, few cases in the literature are reported it is and most commonly related to acute cholecystitis 1.
Epidemiology
Associations
Cystic artery pseudoaneurysm ispseudoaneurysms are associated with:
-
liver biopsy 6
, - biliary interventions
, - cholecystitis
, - pancreatitis
and - laparoscopic cholecystectomy 3-5
.
Clinical presentation
Right hypochondriac pain, epigastric pain, Helena, gastrointestinal bleeding and haemobilia are theThe most common clinical manifestations are 4-5,9:
- right hypochondriac pain
- epigastric pain
- gastrointestinal bleeding
- haemobilia
Complications
Rupture of a cystic artery pseudoaneurysm may cause a severe intraperitoneal bleed +/- hypovolaemic shock.
Pathology
PathologyThe pathogenesis of cystic artery pseudoaneurysm is related to erosion inof the wall of the cystic artery, secondary to gall bladder inflammation with adventitial weakening resulting in pseudoaneurysm formation 2.
Treatment and prognosis
CysticRecommended management of a cystic artery pseudoaneurysm may be presented as haemobilia, in the episode of aneurysm rupture, it may illustrate as a terrible intra-peritoneal bleed with hemorrhagic shock. Urgent procedure including embolizationis urgent angiography and angiographyembolization followed by immediate cholecystectomy is the treatment recommended in literature 3-7.
See also
-<p><strong>Cystic artery pseudoaneurysm </strong>is rare, few cases in the literature are reported it is most commonly related to cholecystitis <sup>1</sup>.</p><h4>Epidemiology</h4><p>Cystic artery pseudoaneurysm is associated with liver biopsy <sup>6</sup>, biliary interventions, cholecystitis, pancreatitis and laparoscopic cholecystectomy <sup>3-5</sup>.</p><h4>Clinical presentation</h4><p>Right hypochondriac pain, epigastric pain, Helena, gastrointestinal bleeding and haemobilia are the most common clinical manifestations <sup>4-5,9</sup>.</p><h4>Pathology</h4><p>Pathology of cystic artery pseudoaneurysm is related to erosion in the wall of the cystic artery, secondary to gall bladder inflammation with adventitial weakening resulting in pseudoaneurysm formation <sup>2</sup>.</p><h4>Treatment and prognosis</h4><p>Cystic artery pseudoaneurysm may be presented as haemobilia, in the episode of aneurysm rupture, it may illustrate as a terrible intra-peritoneal bleed with hemorrhagic shock. Urgent procedure including embolization and angiography followed by immediate cholecystectomy is the treatment recommended in literature <sup>3-7</sup>. </p><h4>See also</h4><ul>- +<p><strong>Cystic artery pseudoaneurysms </strong>are rare and most commonly related to <a title="Acute cholecystitis" href="/articles/acute-cholecystitis">acute cholecystitis</a> <sup>1</sup>.</p><h4>Epidemiology</h4><h5>Associations</h5><p>Cystic artery pseudoaneurysms are associated with:</p><ul>
- +<li>
- +<a href="/articles/liver-biopsy-percutaneous">liver biopsy</a> <sup>6</sup>
- +</li>
- +<li>biliary interventions</li>
- +<li>cholecystitis</li>
- +<li><a title="Pancreatitis" href="/articles/pancreatitis">pancreatitis</a></li>
- +<li>laparoscopic cholecystectomy <sup>3-5</sup>
- +</li>
- +</ul><h4>Clinical presentation</h4><p>The most common clinical manifestations are <sup>4-5,9</sup>:</p><ul>
- +<li>right hypochondriac pain</li>
- +<li>epigastric pain</li>
- +<li>gastrointestinal bleeding</li>
- +<li><a href="/articles/haemobilia">haemobilia</a></li>
- +</ul><h5>Complications</h5><p>Rupture of a cystic artery pseudoaneurysm may cause a severe <a title="Haemoperitoneum" href="/articles/haemoperitoneum">intraperitoneal bleed</a> +/- <a title="hypovolaemic shock" href="/articles/hypovolaemic-shock">hypovolaemic shock</a>.</p><h4>Pathology</h4><p>The pathogenesis of cystic artery pseudoaneurysm is related to erosion of the wall of the <a href="/articles/cystic-artery">cystic artery</a>, secondary to <a href="/articles/gallbladder">gall bladder</a> inflammation with adventitial weakening resulting in <a href="/articles/false-aneurysm">pseudoaneurysm formation</a> <sup>2</sup>.</p><h4>Treatment and prognosis</h4><p>Recommended management of a cystic artery pseudoaneurysm is urgent angiography and embolization followed by immediate <a href="/articles/cholecystectomy-1">cholecystectomy</a> <sup>3-7</sup>.</p><h4>See also</h4><ul>
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