Massive upper gastrointestinal bleeding due to right hepatic artery pseudoaneurysm secondary to cholecystitis

• Authors: K. Habib , G. Williams
• Languages of publication: EN

Abstracts

EN

A literature trawl reveals a substantial number of reports on true visceral aneurysms, including the hepatic artery, but only a handful of cases of visceral pseudoaneurysms. The ones in relation to the biliary tree are associated with previous gall bladder surgery and can result in significant gastrointestinal bleeding. There are more than 10 reported cases of cystic artery pseudoaneurysms but a thorough search revealed only two cases in English (1,2) and perhaps one in Japanese literature of right hepatic artery pseudoaneurysm secondary to cholecystitis presenting as massive upper gastrointestinal bleed. We present a probable fourth case in a 52 year old woman with classical clinical/biochemical picture, typical radiological appearance and who underwent successful interventional radiological treatment of this condition.

Keywords

EN

Pseudo aneurysm; Hepatic artery; Haemobilia; Cholecystitis

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 5
• Pages: 665-668

Dates

published

1 - 10 - 2013

online

18 - 9 - 2013

Contributors

author

K. Habib

• Department of General & Gastrointestinal Surgery, Doncaster Royal Infirmary, Doncaster, UK

author

G. Williams

• Department of Radiology, Doncaster Royal Infirmary, Doncaster, UK

References

• [1] Akatsu T, Hayashi S, Egawa T, Doi M, Nagashima A, Kitano M, Yamane T, et al. Hepatic artery pseudoaneurysm associated with cholecystitis that ruptured into the gallbladder. J Gastroenterol 2004;39:900–903 http://dx.doi.org/10.1007/s00535-003-1408-0[Crossref]
• [2] Yen-Huai Lin, Rheun-Chuan Lee, Cheng-Yuan Hsia, Hung-Chieh Chen, Jen-Huey Chiang, Hsiuo-Shan Tseng, Cheng-Yen Chang. Right Hepatic Artery Pseudoaneurysm Ruptured Into the Gallbladder Demonstrated by Magnetic Resonance. Angiography Journal of the Chinese Medical Association. 2010;73: 331–333 http://dx.doi.org/10.1016/S1726-4901(10)70071-X[Crossref][WoS]
• [3] Sandlom P. Haemorrhage into the biliary tract following trauma; traumatic haemobilia. Surgery. 1948;24:571–586
• [4] Quincke H: Ein fall von Aneurysma der Leberarterie. Klin Wochenschr 1871;8:349–351
• [5] Venturini M, Angeli E, Salvioni M, De Cobelli F, Trentin C, Carlucci M, Staudacher C, Del Maschio A. Haemorrhage from Right Hepatic Pseudoaneurysm: Endovascular Treatment With a Coronary Stent-Graft. Journal of Endovascular Therapy: 2002;9:221–224 http://dx.doi.org/10.1583/1545-1550(2002)009<0221:HFARHA>2.0.CO;2[Crossref]

Identifiers

DOI

10.2478/s11536-013-0204-3