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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Format: | Article |
Language: | English |
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Elsevier
2024-04-01
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Series: | Radiology Case Reports |
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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. |
first_indexed | 2024-03-07T20:05:09Z |
format | Article |
id | doaj.art-8031cd8a6caf440797eaa95235688692 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-03-07T20:05:09Z |
publishDate | 2024-04-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
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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