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Rare disease
CASE REPORT
Rare case of cystic artery pseudoaneurysm
  1. Matta S. Kuzman1,
  2. Alfred Adiamah2,3,
  3. Yutaro Higashi4,
  4. Dhanny Gomez5
  1. 1General Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK
  2. 2Dorset County Hospital, Dorset, UK
  3. 3General Surgery, Stoke Mandeville Hospital, Aylesbury, UK
  4. 4Radiology Department, Nottingham University Hospitals NHS Trust, Nottingham, UK
  5. 5Hepato-Pancreatico-Biliary Service, Nottingham University Hospitals, Nottingham, UK
  1. Correspondence to Matta S. Kuzman, kuzman.matta{at}gmail.com

Summary

A patient with a cystic artery pseudoaneurysm (CAP) presented to the emergency department with upper abdominal and back pain. The patient also had clinical signs of sepsis. CT revealed gallstones with acute suppurative cholecystitis with a gallbladder perforation. In addition, a CAP was also suspected and subsequently diagnosed on CT angiography. The pseudoaneurysm was treated with embolisation and a cholecystostomy was performed for the gallbladder perforation. Following her acute admission, the patient underwent an elective cholecystectomy and made a good recovery post surgery.

  • biliary intervention
  • general surgery

https://doi.org/10.1136/bcr-2017-223789

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    Footnotes

    • Contributors MSK: surgical registrar who was responsible for the treatment and follow-up of the case, and he is the primary author. AA: surgical registrar and helped with the writing. YH: radiology consultant who participated in the treatment of the case and provided the needed pictures. DG: the treating consultant of the case and the supervisor of the writing of the case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.