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.
Halbe
S
S
Department of Radiology, Apollo Hospitals, Chennai. ahel@vsni.com
Ahmed
N I
NI
Sundar
K
K
Sathyakumar
C
C
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