Pseudoaneurysm in gall bladder fossa following laparoscopic cholecystectomy.
A 32-year-old lady presented with severe hematemesis and melena after laparoscopic cholecystectomy. Initial ultrasonography and spiral CT suggested a vascular lesion in the gall bladder fossa. Selective hepatic angiography confirmed the presence of a pseudoaneurysm close to the surgical clip and filling through the right hepatic artery. This was treated with coil embolization, resulting in cessation of hematemesis and amelioration of symptoms.
Department of Radiology, Apollo Hospitals, Chennai. ahel@vsni.com
S
S
Halbe
N I
NI
Ahmed
K
K
Sundar
C
C
Sathyakumar
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology*; D002763:Cholecystectomy / Q000009:adverse effects*; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006396:Hematemesis; D006499:Hepatic Artery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D014463:Ultrasonography