title: An insidious case of hepatic artery pseudoaneurysm secondary to acalculus cholecystitis.
abstract: A 68-year-old man with expressive dysphasia presented with upper gastrointestinal haemorrhage, jaundice and abdominal pain. He was unable to tolerate ultrasound tranducer pressure. His oesophagogastroduodenoscopy (OGD) showed large blood clots in the stomach with blood trickling from the ampulla. An urgent CT angiogram demonstrated a 32 mm pseudoaneurysm within the gallbladder fossa. The patient subsequently underwent an endovascular embolisation of the pseudoaneurysm performed by the interventional radiology team.
authors.affiliation: Department of Gastroenterology, Wrexham Maelor Hospital, Wrexham, UK.
authors.forename: Z H
authors.identifier: http://orcid.org/0000-0002-5801-5884
authors.initials: ZH
authors.lastname: Teoh
authors.affiliation: Department of Gastroenterology, Wrexham Maelor Hospital, Wrexham, UK.
authors.forename: A
authors.initials: A
authors.lastname: Surya
authors.affiliation: Department of Gastroenterology, Wrexham Maelor Hospital, Wrexham, UK.
authors.forename: T
authors.initials: T
authors.lastname: Mathialahan
authors.affiliation: Department of Gastroenterology, Wrexham Maelor Hospital, Wrexham, UK.
authors.forename: H
authors.initials: H
authors.lastname: Khan
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D042101:Acalculous Cholecystitis / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D000368:Aged; D017541:Aneurysm, False / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D000792:Angiography / Q000295:instrumentation; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic / Q000379:methods; D016145:Endoscopy, Digestive System / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods; D005500:Follow-Up Studies; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014463:Ultrasonography