Unruptured Pseudoaneurysm of Cystic Artery: A Case Report
Cystic Artery Pseudoaneurysm (CAP) is a rare, abnormal dilation of the artery supplying the gallbladder. The main causes could be acute cholecystitis and iatrogenic injury during cholecystectomy. Ruptured pseudoaneurysm of cystic artery generally presents with haemobilia, and upper gastrointestinal...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-01-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/17398/59019_CE[Ra1]_F(IS)_PF1(KB_KM)_PN(KM).pdf |
| _version_ | 1797936011480662016 |
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| author | Ajay Rajyaguru Sachin Singh Mitesh Savani Jatin Bhatt |
| author_facet | Ajay Rajyaguru Sachin Singh Mitesh Savani Jatin Bhatt |
| author_sort | Ajay Rajyaguru |
| collection | DOAJ |
| description | Cystic Artery Pseudoaneurysm (CAP) is a rare, abnormal dilation of the artery supplying the gallbladder. The main causes could be acute cholecystitis and iatrogenic injury during cholecystectomy. Ruptured pseudoaneurysm of cystic artery generally presents with haemobilia, and upper gastrointestinal bleeding or intraperitoneal bleeding. Only a few cases of unruptured CAP are reported that are successfully treated with open or laparoscopic cholecystectomy. This case is one of the rare cases of unruptured CAP where a 78-year-old female patient who was a known case of hypothyroidism, presented with upper abdominal pain and vomiting, diagnosed with acute calculous cholecystitis with CAP. She was managed with laparoscopic cholecystectomy, converted to open cholecystectomy and discharged with uneventful postoperative period. Due to the high risk of rupture, the patient required urgent surgical intervention either by open or laparoscopic cholecystectomy by a skilled laparoscopic surgeon. The operating need for conversion to laparotomy should be considered neither a failure nor a complication but an attempt to avoid intra and postoperative complications. |
| first_indexed | 2024-04-10T18:23:00Z |
| format | Article |
| id | doaj.art-09a81260e5ce4a7a821e55ef140c984b |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T18:23:00Z |
| publishDate | 2023-01-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-09a81260e5ce4a7a821e55ef140c984b2023-02-02T06:30:51ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-01-01171PD01PD0210.7860/JCDR/2023/59019.17398Unruptured Pseudoaneurysm of Cystic Artery: A Case ReportAjay Rajyaguru0Sachin Singh1Mitesh Savani2Jatin Bhatt3Associate Professor, Department of General Surgery, PDU Medical College and Hospital Rajkot, Gujarat, India.Third Year Resident, Department of General Surgery, PDU Medical College and Hospital Rajkot, Gujarat, India.Third Year Resident, Department of General Surgery, PDU Medical College and Hospital Rajkot, Gujarat, India.Professor and Head, Department of General Surgery, PDU Medical College and Hospital Rajkot, Gujarat, India.Cystic Artery Pseudoaneurysm (CAP) is a rare, abnormal dilation of the artery supplying the gallbladder. The main causes could be acute cholecystitis and iatrogenic injury during cholecystectomy. Ruptured pseudoaneurysm of cystic artery generally presents with haemobilia, and upper gastrointestinal bleeding or intraperitoneal bleeding. Only a few cases of unruptured CAP are reported that are successfully treated with open or laparoscopic cholecystectomy. This case is one of the rare cases of unruptured CAP where a 78-year-old female patient who was a known case of hypothyroidism, presented with upper abdominal pain and vomiting, diagnosed with acute calculous cholecystitis with CAP. She was managed with laparoscopic cholecystectomy, converted to open cholecystectomy and discharged with uneventful postoperative period. Due to the high risk of rupture, the patient required urgent surgical intervention either by open or laparoscopic cholecystectomy by a skilled laparoscopic surgeon. The operating need for conversion to laparotomy should be considered neither a failure nor a complication but an attempt to avoid intra and postoperative complications.https://www.jcdr.net/articles/PDF/17398/59019_CE[Ra1]_F(IS)_PF1(KB_KM)_PN(KM).pdfabdominal painacute cholecystitislaparoscopic cholecystectomyoperation |
| spellingShingle | Ajay Rajyaguru Sachin Singh Mitesh Savani Jatin Bhatt Unruptured Pseudoaneurysm of Cystic Artery: A Case Report Journal of Clinical and Diagnostic Research abdominal pain acute cholecystitis laparoscopic cholecystectomy operation |
| title | Unruptured Pseudoaneurysm of Cystic Artery: A Case Report |
| title_full | Unruptured Pseudoaneurysm of Cystic Artery: A Case Report |
| title_fullStr | Unruptured Pseudoaneurysm of Cystic Artery: A Case Report |
| title_full_unstemmed | Unruptured Pseudoaneurysm of Cystic Artery: A Case Report |
| title_short | Unruptured Pseudoaneurysm of Cystic Artery: A Case Report |
| title_sort | unruptured pseudoaneurysm of cystic artery a case report |
| topic | abdominal pain acute cholecystitis laparoscopic cholecystectomy operation |
| url | https://www.jcdr.net/articles/PDF/17398/59019_CE[Ra1]_F(IS)_PF1(KB_KM)_PN(KM).pdf |
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