Anil John, Rahil Hussein, Betsy Varughese, Ahmed Elaffandi, Paul Vincent, Saad Al Kaabi
{"title":"Cystic Artery Pseudoaneurysm as a Complication of Acute Cholecystitis Presenting as Gastric Outlet Obstruction.","authors":"Anil John, Rahil Hussein, Betsy Varughese, Ahmed Elaffandi, Paul Vincent, Saad Al Kaabi","doi":"10.14309/crj.0000000000001801","DOIUrl":null,"url":null,"abstract":"<p><p>Pseudoaneurysm of cystic artery is a rare complication of severe acute cholecystitis. We report an unusual complication of pseudoaneurysm of the cystic artery. A 42-year-old man with severe acute cholecystitis developed symptoms of gastric outlet obstruction, which was confirmed by upper endoscopy. Cross-sectional imaging showed a para duodenal hematoma because of ruptured cystic artery pseudoaneurysm. Selective angiogram confirmed the above findings, and the patient underwent therapeutic coil embolization of the pseudoaneurysm, with resolution of the symptoms of gastric outlet obstruction. An unexplained drop in hematocrit in the setting of severe cholecystitis should alert the clinician to the possibility of cystic artery pseudoaneurysm and its complications.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 10","pages":"e01801"},"PeriodicalIF":0.5000,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490642/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001801","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Pseudoaneurysm of cystic artery is a rare complication of severe acute cholecystitis. We report an unusual complication of pseudoaneurysm of the cystic artery. A 42-year-old man with severe acute cholecystitis developed symptoms of gastric outlet obstruction, which was confirmed by upper endoscopy. Cross-sectional imaging showed a para duodenal hematoma because of ruptured cystic artery pseudoaneurysm. Selective angiogram confirmed the above findings, and the patient underwent therapeutic coil embolization of the pseudoaneurysm, with resolution of the symptoms of gastric outlet obstruction. An unexplained drop in hematocrit in the setting of severe cholecystitis should alert the clinician to the possibility of cystic artery pseudoaneurysm and its complications.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
