Successful Transcatheter Arterial Embolisation of a Cystic Artery Pseudoaneurysm Secondary to Calculus Cholecystitis: A Case Report

Authors

  • Amidevi Desai
  • Michael Saunders
  • Hugh Anderson
  • David Howlett

DOI:

https://doi.org/10.3941/jrcr.v4i2.268

Keywords:

Pseudoaneurysm, cystic artery, gallbladder, haemobilia, embolisation.

Abstract

Pseudoaneurysms of the cystic artery secondary to calculus cholecystitis are rare. In this report we describe a case of an elderly female who presented with abdominal pain, pyrexia, anaemia and jaundice. She had known chronic cholecystitis, but was not considered a suitable surgical candidate. Contrast enhanced computed tomography (CECT) demonstrated a probable aneurysm within the gallbladder fossa. The patient proceeded to digital subtraction angiography (DSA), which confirmed an aneurysm arising from the cystic artery and was subsequently managed with transcatheter arterial embolisation using coils. This case report reviews the diagnosis and management of this rare complication.

Author Biographies

Amidevi Desai

Department of Radiology

Eastbourne District General Hospital

Eastbourne

East Sussex

BN21 2UD

Radiology Specialist Registrar

Michael Saunders

Department of Surgery

Eastbourne District General Hospital

Eastbourne

East Sussex

BN21 2UD

General Surgical Consultant

Hugh Anderson

Department of Radiology

Eastbourne District General Hospital

Eastbourne

East Sussex

BN21 2UD

 Interventional Radiology Consultant

David Howlett

Department of Radiology

Eastbourne District General Hospital

Eastbourne

East Sussex

BN21 2UD

Consultant Radiologist

Published

2010-01-24

Issue

Section

Interventional Radiology