Cystic artery pseudoaneurysm

Cystic artery pseudoaneurysm (CAP) is a rare entity, with just a few cases reported in the literature. The most common presentation of CAP is described by Quincke's triad of upper gastrointestinal bleeding, jaundice and right upper quadrant abdominal pain. We report the case of an 83-year-old m...

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Main Authors: Rampersad Robbie, MBBS, DM, Ramharacksingh Amrita, MBBS, Chan Adrian, MBBS, Sinanan Alexander, MBBS, FRCR, Sookhai Shastri, MD, FRCS, Parmanand Maharaj, MBBS, DM
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323009743
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author Rampersad Robbie, MBBS, DM
Ramharacksingh Amrita, MBBS
Chan Adrian, MBBS
Sinanan Alexander, MBBS, FRCR
Sookhai Shastri, MD, FRCS
Parmanand Maharaj, MBBS, DM
author_facet Rampersad Robbie, MBBS, DM
Ramharacksingh Amrita, MBBS
Chan Adrian, MBBS
Sinanan Alexander, MBBS, FRCR
Sookhai Shastri, MD, FRCS
Parmanand Maharaj, MBBS, DM
author_sort Rampersad Robbie, MBBS, DM
collection DOAJ
description Cystic artery pseudoaneurysm (CAP) is a rare entity, with just a few cases reported in the literature. The most common presentation of CAP is described by Quincke's triad of upper gastrointestinal bleeding, jaundice and right upper quadrant abdominal pain. We report the case of an 83-year-old male who presented to the adult emergency with a history of an acute cholecystitis 5 weeks prior for which responded to conservative management. Despite this patient not presenting with Quincke's triad, early suspicion of CAP was considered in light of his history of acute cholecystitis and a computed tomographic CT abdomen ordered promptly which showed a 6 mm cystic artery pseudoaneurysm and a thick-walled gallbladder with surrounding inflammatory changes. Management with an endovascular approach followed by an elective cholecystectomy was done.
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spelling doaj.art-8031cd8a6caf440797eaa952356886922024-02-28T05:13:03ZengElsevierRadiology Case Reports1930-04332024-04-0119414131418Cystic artery pseudoaneurysmRampersad Robbie, MBBS, DM0Ramharacksingh Amrita, MBBS1Chan Adrian, MBBS2Sinanan Alexander, MBBS, FRCR3Sookhai Shastri, MD, FRCS4Parmanand Maharaj, MBBS, DM5Department of Radiology, University of the West Indies, St. Augustine, Trinidad and TobagoImage Guided Solutions Ltd, Interventional Radiology, Trinidad and TobagoDepartment of Radiology, University of the West Indies, St. Augustine, Trinidad and Tobago; Corresponding author.Department of Radiology, Sangre Grande Hospital, Trinidad and TobagoDepartment of Surgery, Port of Spain General Hospital, Trinidad and TobagoDepartment of Radiology, University of the West Indies, St. Augustine, Trinidad and TobagoCystic artery pseudoaneurysm (CAP) is a rare entity, with just a few cases reported in the literature. The most common presentation of CAP is described by Quincke's triad of upper gastrointestinal bleeding, jaundice and right upper quadrant abdominal pain. We report the case of an 83-year-old male who presented to the adult emergency with a history of an acute cholecystitis 5 weeks prior for which responded to conservative management. Despite this patient not presenting with Quincke's triad, early suspicion of CAP was considered in light of his history of acute cholecystitis and a computed tomographic CT abdomen ordered promptly which showed a 6 mm cystic artery pseudoaneurysm and a thick-walled gallbladder with surrounding inflammatory changes. Management with an endovascular approach followed by an elective cholecystectomy was done.http://www.sciencedirect.com/science/article/pii/S1930043323009743Gastro-intestinal radiologyCT-angiographyCAPInterventional radiologyEmbolization
spellingShingle Rampersad Robbie, MBBS, DM
Ramharacksingh Amrita, MBBS
Chan Adrian, MBBS
Sinanan Alexander, MBBS, FRCR
Sookhai Shastri, MD, FRCS
Parmanand Maharaj, MBBS, DM
Cystic artery pseudoaneurysm
Radiology Case Reports
Gastro-intestinal radiology
CT-angiography
CAP
Interventional radiology
Embolization
title Cystic artery pseudoaneurysm
title_full Cystic artery pseudoaneurysm
title_fullStr Cystic artery pseudoaneurysm
title_full_unstemmed Cystic artery pseudoaneurysm
title_short Cystic artery pseudoaneurysm
title_sort cystic artery pseudoaneurysm
topic Gastro-intestinal radiology
CT-angiography
CAP
Interventional radiology
Embolization
url http://www.sciencedirect.com/science/article/pii/S1930043323009743
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