Transarterial Embolization of Iatrogenic Cystic Artery Pseudoaneurysm

Ana Luísa Proença, Filipe Veloso Gomes, Nuno Costa, Tiago Bilhim, José Hugo Luz, Élia Coimbra

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Abstract

Cystic artery pseudoaneurysm (CAP) is a rare entity most often resulting from inflammatory conditions (acute cholecystitis or pancreatitis) or iatrogenic trauma (cholecystectomy). We report the case of a 73-year-old female who presented with abdominal pain and gastrointestinal bleeding after an episode of acute cholecystitis and endoscopic retrograde cholangiopancreatography for choledocolithiasis removal. Computed tomography and angiography revealed a CAP measuring 5 cm. A right hepatic artery transcatheter embolization was performed with glue, excluding the pseudoaneurysm. The next day, the patient underwent open cholecystectomy with ligation of the cystic artery. Later, ischemic hepatitis and abscess developed.

Original languageEnglish
JournalGE Portuguese Journal of Gastroenterology
DOIs
Publication statusPublished - 1 Jan 2019

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False Aneurysm
Acute Cholecystitis
Arteries
Cholecystectomy
Endoscopic Retrograde Cholangiopancreatography
Hepatic Artery
Pancreatitis
Adhesives
Abscess
Abdominal Pain
Hepatitis
Ligation
Hemorrhage
Wounds and Injuries

Keywords

  • Cystic artery pseudoaneurysm
  • Liquid embolics
  • Transarterial catheter embolization

Cite this

Proença, Ana Luísa ; Veloso Gomes, Filipe ; Costa, Nuno ; Bilhim, Tiago ; Luz, José Hugo ; Coimbra, Élia. / Transarterial Embolization of Iatrogenic Cystic Artery Pseudoaneurysm. In: GE Portuguese Journal of Gastroenterology. 2019.
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Transarterial Embolization of Iatrogenic Cystic Artery Pseudoaneurysm. / Proença, Ana Luísa; Veloso Gomes, Filipe; Costa, Nuno; Bilhim, Tiago; Luz, José Hugo; Coimbra, Élia.

In: GE Portuguese Journal of Gastroenterology, 01.01.2019.

Research output: Contribution to journalArticle

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AU - Veloso Gomes, Filipe

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AU - Luz, José Hugo

AU - Coimbra, Élia

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