Hemobilia Due to Cystic Artery Pseudoaneurysm: A Rare Late Complication of Laparoscopic Cholecystectomy.
We discuss a patient with late presentation of hemobilia following cholecystectomy, which is unusual because pseudoaneurysm caused by vascular injury during surgery typically presents soon after surgery. Endoscopic retrograde cholangiopancreatography revealed a large blood clot arising from the biliary orifice with subsequent computed tomography angiography diagnosing a large pseudoaneurysm in the region of the cystic artery adjacent to the cholecystectomy clips. Embolization was performed via direct percutaneous puncture of the pseudoaneurysm.
Division of Gastroenterology, Washington University School of Medicine, St Louis, MO.
Ricardo
R
Badillo
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO.
Michael D
MD
Darcy
Division of Gastroenterology, Washington University School of Medicine, St Louis, MO.
Vladimir M
VM
Kushnir