Year 2017 / Volume 109 / Number 8
Digestive Diseases Image
Hemobilia due to a cystic artery pseudoaneurysm on ultrasound

587-588

DOI: 10.17235/reed.2017.4936/2017

Victoria de Lara Bendahán, Encarna García DomÍnguez, Marta Rivas Rivas, Jesús García Serrano,

Abstract
The present paper describes a case of hemobilia in a woman with a cystic artery pseudoaneurysm. The pseudoaneurysm could be seen with ultrasound, Doppler sonography and CT angiography. In our case, Doppler sonography was the most useful technique for diagnosis, revealing the turbulent forward and backwards flow within the gallbladder, representing the focally dilated artery. This was later confirmed by CT angiography. A recent bleeding site was found on the cholecystectomy specimen.
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References
1- Asad Ali, Sofronis Loizides, Richard Newton, et al. Laparoscopic management of a cystic artery pseudoaneurysm in a patient with calculus cholecystitis. International Journal of Surgery Case Reports, 2015; Vol 14: 182–185.
2- de Quinta Frutos R, Moles Morenilla L, Docobo Durantes F, et al. Hemobilia secondary to chronic cholecystitis. Rev Esp Enferm Dig 2004; 96: 221-225.
3- Badano F. Signo del Yin-Yang. Rev Arg de Radiología 2010; 74: 403-405.
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de Lara Bendahán V, García DomÍnguez E, Rivas Rivas M, García Serrano J. Hemobilia due to a cystic artery pseudoaneurysm on ultrasound . 4936/2017


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Publication history

Received: 06/03/2017

Accepted: 19/04/2017

Online First: 31/08/2017

Published: 31/07/2017

Article revision time: 36 days

Article Online First time: 178 days

Article editing time: 147 days


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