Two cases of cystic artery pseudoaneurysm rupture due to acute cholecystitis with gallstone impaction in the neck.
A cystic artery aneurysm is a rare cause of hemobilia. Herein, we report two cases of acute cholecystitis with a ruptured cystic artery pseudoaneurysm. Two patients (a 69-year-old man and an 83-year-old man) were admitted to our hospital because of acute cholecystitis with gallstone impaction in the neck. Percutaneous transhepatic gallbladder drainage (PTGBD) was performed for both patients. After a few days of PTGBD, gallbladder hemorrhage was observed. Abdominal angiography showed cystic artery aneurysm. A transcatheter arterial embolization was therefore performed, followed by an open cholecystectomy.
Department of Gastroenterology, Tokyo Dental College, Ichikawa General Hospital.
Shogo
S
Kaida
Kyouko
K
Arahata
Asako
A
Itou
Sakiko
S
Takarabe
Kayoko
K
Kimura
Hiroshi
H
Kishikawa
Jiro
J
Nishida
Yoshiki
Y
Fujiyama
Yutaka
Y
Takigawa
Junichi
J
Matsui
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000209:etiology / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000628:therapy; D002764:Cholecystitis / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic; D042882:Gallstones / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed