Download PDF
Semin intervent Radiol 2019; 36(02): 108-110
DOI: 10.1055/s-0039-1688429
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cystic Artery Hemorrhage after Cholecystostomy Catheter Exchange Treated with Transcatheter Embolization

David M. Sada
1   Diagnostic and Therapeutic Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas
2   Department of Radiology, Baylor College of Medicine, Houston, Texas
,
Zeyad A. Metwalli
1   Diagnostic and Therapeutic Care Line, Michael E. DeBakey VA Medical Center, Houston, Texas
2   Department of Radiology, Baylor College of Medicine, Houston, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
22 May 2019 (online)

Also available at
    Permissions and Reprints

Abstract

The pathogenesis of formation of cystic artery pseudoaneurysms is not well understood, but is thought to result from erosion of the cystic artery wall from the adjacent inflammatory process associated with acute or chronic cholecystitis. The presented case discusses an incident of hemorrhage from a cystic artery pseudoaneurysm resulting in a large perihepatic hematoma as well as hemobilia, which developed after a routine cholecystostomy catheter exchange. This was treated with transcatheter embolization using ethylene-vinyl alcohol copolymer.

Keywords

hemorrhage - gallbladder - cholecystitis - cholecystostomy - pseudoaneurysm - interventional radiology

Financial Disclosure

None.


 

  • References

  • 1 Mokrane FZ, Alba CG, Lebbadi M. , et al. Pseudoaneurism of the cystic artery treated with hyperselective embolisation alone. Diagn Interv Imaging 2013; 94 (06) 641-643
    CrossrefPubMedGoogle Scholar
  • 2 Hall TC, Sprenger De Rover W, Habib S, Kumaran M. Cystic artery pseudoaneurysm secondary to acute cholecystitis: an unusual cause for haemobilia. BJR Case Rep 2016; 2 (02) 20150423
    PubMedGoogle Scholar
  • 3 Fujimoto Y, Tomimaru Y, Hatano H. , et al. Ruptured cystic artery pseudoaneurysm successfully treated with urgent cholecystectomy: a case report and literature review. Am J Case Rep 2018; 19: 187-193
    CrossrefPubMedGoogle Scholar
  • 4 Maddineni S, , D Lim MM, McCabe S, Rozenblit G. Transcatheter embolization of a cystic artery pseudoaneurysm in a cirrhotic patient with perforated acute cholecystitis. Indian J Radiol Imaging 2017; 27 (04) 521-523
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Tapnio RH, Kolber MK, Shukla PA, Berkowitz E. Transcatheter embolization of cystic artery pseudoaneurysms secondary to acute cholecystitis. Vasc Endovascular Surg 2017; 51 (07) 498-500
    CrossrefPubMedGoogle Scholar